NPI 1568720050

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Organisation Exclusive Provider Organization North Chesterfield, VA

Practice location

Address: 1901 Huguenot Rd Suite 101, North Chesterfield, VA 23235-4311
Phone: (804) 397-1070

Authorised official

Name: Antoinette Pierce
Title: Ceo
Phone: (804) 397-1070

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Virginia →

Registry record

NPI: 1568720050
Entity type: Organization
NPI issued: 2 May 2012
Record last updated: 13 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.