Organization
THE FAMILY PRACTICE OF MANAKIN-SABOT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH D HELLAMS JR. MD (PRESIDENT)
(804) 784-8800
Entity
Organization
Contact information
Practice address
294 RIVER RD W, MANAKIN SABOT, VA 23103-3200
(804) 784-8800
(804) 784-7203
Mailing address
294 RIVER RD W, MANAKIN SABOT, VA 23103-3200
(804) 784-8800
(804) 784-7203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08626
MEDICARE GROUP NUMBER
—
Enumeration date
03/21/2006
Last updated
02/19/2014
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