Organization
COMMONWEALTH PRIMARY CARE
Active
Other names
Family Physicians, Wyndham
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA PARRISH (BILLING ADMIN)
(804) 288-0399
Entity
Organization
Contact information
Practice address
5360 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 346-3200
(804) 346-4075
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141466
ANTHEM
VA
01
—
CJ7063
RAILROAD MEDICARE
VA
Enumeration date
11/16/2006
Last updated
09/16/2011
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