Organization
COMPLETE CARE MEDICAL GROUP
Active
Organization
COMPLETE CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY HARMON (ADMINISTRATOR)
(804) 410-3322
Entity
Organization
Contact information
Practice address
721 CHARLOTTE ST., TAPPAHANNOCK, VA 22520
(804) 925-2566
Mailing address
PO BOX 2924, GLEN ALLEN, VA 23058-2924
(804) 410-3322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0103000694
VA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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