NPI 1598860488

Jdm of VA LLC

Organisation Preferred Provider Organization Richmond, VA

Practice location

Address: 6201 Midlothian Tpke, Richmond, VA 23225-5809
Phone: (804) 674-1600
Fax: (804) 674-1688
Mailing address: 7 S Adams St, Richmond, VA 23220-5601

Authorised official

Name: Berkeley Anthony Alexander
Title: President
Phone: (804) 788-1956

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 52402006 (VA)

Other Preferred Provider Organization providers in Virginia →

Registry record

NPI: 1598860488
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 22 Aug 2020

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.