Organization
GREATER VIRGINIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN L FOX (CEO)
(804) 282-9425
Entity
Organization
Contact information
Practice address
2006 BREMO RD STE 101, RICHMOND, VA 23226-2438
(804) 282-9425
(804) 282-6413
Mailing address
PO BOX 17085, RICHMOND, VA 23226-7085
(804) 282-9425
(804) 282-6413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
07/22/2006
Last updated
11/30/2011
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