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Individual

JENIFER E CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 GLENSIDE DR STE 105, COMMONWEALTH PRIMARY CARE, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Mailing address
5360 TWIN HICKORY RD, COMMONWEALTH PRIMARY CARE, GLEN ALLEN, VA 23059-5682
(804) 346-3200
(804) 346-4075

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045526
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005609640
VA
Enumeration date
08/15/2006
Last updated
11/16/2015
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