Organization
VILLAGE GREEN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J SCHARPF MD (PRESIDENT)
(804) 739-5433
Entity
Organization
Contact information
Practice address
5912 HARBOUR PARK DR STE B, MIDLOTHIAN, VA 23112-2135
(804) 739-5433
(804) 739-0321
Mailing address
5912 HARBOUR PARK DR STE B, MIDLOTHIAN, VA 23112-2135
(804) 739-5433
(804) 739-0321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568421824
PHYSICIAN NPI
VA
01
—
C02381
MEDICARE GROUP NUMBER
—
Enumeration date
03/21/2006
Last updated
05/15/2012
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