Organization · Type 2 NPI

Premise Health of Virginia Medical, P.c

General Practice Physician · Richmond, VA

NPI number 1023360112 Active

Practice location

6601 W Broad St
Richmond, VA 23230-1723

Call (804) 484-8891 Map

Mailing address

5500 Maryland Way, Ste 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Other general practice physician providers in Richmond

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NPI record

NPI: 1023360112
Entity type: Organization (Type 2)
Issued: Oct 12, 2012
Last updated: Aug 15, 2022
Status: Active
Subpart: Yes of CHS Health Service, LLC

Other names

<unavail>
Altria Health Clinic · doing business as
Altria Health Clinic · doing business as

Authorized official

Jon Leizman
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023360112

Premise Health of Virginia Medical, P.c's National Provider Identifier is 1023360112, issued on Oct 12, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Richmond, VA. The record was last updated on Aug 15, 2022.