Organization
PRIMARY HEALTH GROUP, INC.
Active
Other names
Physicians of Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VP)
(804) 739-0910
Entity
Organization
Contact information
Practice address
13861 HULL STREET RD, MIDLOTHIAN, VA 23112-2003
(804) 739-0910
Mailing address
13861 HULL STREET RD, MIDLOTHIAN, VA 23112-2003
(804) 739-0910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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