Organization
PRIME CARE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDRA F. MANN (PRACTICE MANAGER)
(804) 526-1111
Entity
Organization
Contact information
Practice address
4700 PUDDLEDOCK ROAD, SUITE 300, PRINCE GEORGE, VA 23875-1268
(804) 526-1111
(804) 526-8363
Mailing address
4700 PUDDLEDOCK ROAD, SUITE 300, PRINCE GEORGE, VA 23875-1268
(804) 526-1111
(804) 526-8363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
03/03/2025
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