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Individual

THOMAS IRVING EPPERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3510-A ANDERSON HWY., POWHATAN, VA 23139-7406
(804) 598-3100
Mailing address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101030811
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010177359
VA
01
0107662
UNITED HEALTHCARE
VA
01
10003380
OPTIMA
VA
01
1439641
CIGNA
VA
01
178486
ANTHEM
VA
01
317473
SOUTHERN HEALTH
VA
01
5232281
AETNA
VA
01
540883363
CHAMPUS-TRICARE
VA
01
8132260
MAMSI
VA
Enumeration date
05/17/2006
Last updated
07/13/2009
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