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Individual

JAMES R HEYWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3603 GROVE AVENUE, RICHMOND, VA 23221
(804) 358-2361
(804) 359-0949
Mailing address
3603 GROVE AVENUE, RICHMOND, VA 23221
(804) 358-2361
(804) 359-0949

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101052104
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006721567
VIRGINIA PREMIER
VA
05
006721567
VA
01
1006221
AETNA
VA
01
113168
ANTHEM
VA
01
287331
SOUTHERN HEALTH
VA
01
3330964003
CIGNA
VA
01
38790
CARENET
VA
01
45916
OPTIMA
VA
01
540597838
UNITED HEALTH CARE
VA
Enumeration date
08/08/2006
Last updated
01/27/2011
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