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Organization

COMMONWEALTH PRIMARY CARE

Active
Other names
Huguenot Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA PARRISH (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization

Contact information

Practice address
1529 HUGUENOT RD, SUITE A, MIDLOTHIAN, VA 23113-2426
(804) 378-7373
(804) 378-7728
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141469
ANTHEM
VA
01
CL1914
MEDICARE RAILROAD
VA
Enumeration date
07/12/2006
Last updated
03/25/2013
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