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Organization

DOMINION PRIMARY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRADEEP K PRADHAN (PRESIDENT)
(434) 791-1562
Entity
Organization

Contact information

Practice address
110 EXCHANGE ST STE F, DANVILLE, VA 24541-3500
(434) 791-1562
(434) 791-3776
Mailing address
110 EXCHANGE ST STE F, DANVILLE, VA 24541-3500
(434) 791-1562
(434) 791-3776

Taxonomy

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

Other

Enumeration date
10/02/2006
Last updated
09/17/2007
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