Organization
XIAO HONG JIN MD PLLC
Active
Other names
Xiao Hong Jin MD
Organization subpart
No
Provider details
NPI number
Authorized official
XIAO HONG JIN MD (MEDICAL DIRECTOR)
(804) 732-0618
Entity
Organization
Contact information
Practice address
15 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 732-0618
(804) 861-6846
Mailing address
11619 RIVERBOAT DR, CHESTER, VA 23836-5438
(804) 943-3695
(804) 861-6846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679766752
—
VA
Enumeration date
05/31/2016
Last updated
01/30/2023
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