Organization
CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
Active
Parent organization
CENTRAL VIRGINIA FAMILY PHYSICIANS
Other names
TIMBERLAKE FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA FAMILY PHYSICIANS
Authorized official
MATTHEW A JOHNSON MD (PRESIDENT)
(434) 846-7374
Entity
Organization
Contact information
Practice address
20304 TIMBERLAKE RD, LYNCHBURG, VA 24502-7222
(434) 237-6471
(434) 237-8810
Mailing address
PO BOX 2489, FOREST, VA 24551-6489
(434) 382-1125
(434) 525-5748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528155892
CVFP CORPORATE NPI
VA
05
—
1528155892
—
VA
01
—
C03658
CVFP MCARE GROUP PTAN
VA
01
—
CC2392
MEDICARE RAILROAD
VA
Enumeration date
10/09/2006
Last updated
06/11/2008
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