Organization
DOMINION MEDICAL ASSOCIATE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERLENE M SHERARD NP (NURSE PRACTITONER)
(804) 225-7148
Entity
Organization
Contact information
Practice address
304 E LEIGH ST, RICHMOND, VA 23219-1410
(804) 225-7148
(804) 225-7159
Mailing address
304 E LEIGH ST, RICHMOND, VA 23219-1410
(804) 225-7148
(804) 225-7159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173995
VA
Other
Enumeration date
10/17/2016
Last updated
03/19/2025
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