Organization
COMMONWEALTH PRIMARY CARE
Active
Organization
COMMONWEALTH PRIMARY CARE
Active
Other names
CPC Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL DANIEL (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization
Contact information
Practice address
9930 INDEPENDENCE PARK DR, SUITE 101, RICHMOND, VA 23233-1476
(804) 726-2600
Mailing address
8002 DISCOVERY DR, SUITE 410, RICHMOND, VA 23229-8601
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303278
ANTHEM
VA
01
—
304078
ANTHEM
VA
01
—
CC6597
RAILROAD MEDICARE
VA
Enumeration date
08/05/2007
Last updated
11/28/2007
Update your record
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