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Organization

JAMES RIVER INTERNISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE BERGAMO (VP)
(804) 267-5950
Entity
Organization

Contact information

Practice address
13440 TREDEGAR LAKE PKWY BLDG 2, MIDLOTHIAN, VA 23112-4070
(804) 745-2200
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568409100
RR MEDICARE
VA
05
1568409100
VA
Enumeration date
06/01/2006
Last updated
11/20/2025
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