Organization
POWHATAN FAMILY PHYSICIANS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY DUNCAN (ADMINISTRATOR)
(804) 794-1555
Entity
Organization
Contact information
Practice address
2615 ANDERSON HWY, SUITE A, POWHATAN, VA 23139-7400
(804) 794-1555
(804) 403-0334
Mailing address
2615 ANDERSON HWY, SUITE A, POWHATAN, VA 23139-7400
(804) 794-1555
(804) 403-0334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050629
ANTHEM
VA
01
—
550498
AETNA
VA
01
—
821002
MDIPA
VA
01
—
C18289
MEDICARE RAILROAD
VA
Enumeration date
09/14/2006
Last updated
03/08/2010
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