Tri-cities Geriatrics, Pc

NPI 1285030528 - Internal Medicine - 207R00000X

NPI Details
NPI 1285030528
Enumeration Date 11/14/2014
Last Updated 11/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MOHAMMAD MOHAMMAD
Position PRESIDENT
Phone (804) 721-9148
Fax (804) 530-5295
Practice Location
1714 E HUNDRED RD
SUITE 101
CHESTER VA, 23836-3310, US
Phone (804) 721-9148
Fax (804) 530-5295
Business Location
1714 E HUNDRED RD
SUITE 101
CHESTER VA, 23836-3310, US
Phone (804) 721-9148
Fax (804) 530-5295
Toxanomy
Taxonomy Code 207R00000X
License State Virginia
License Number 0101055927
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According to our database, Tri-cities Geriatrics, Pc NPI is 1285030528, taxonomy code is 207R00000X and license number is 0101055927, license state is located at Virginia. Tri-cities Geriatrics, Pc physically located at 1714 E Hundred Rd, Chester VA, 23836-3310. NPI Number 1033115704 has the healthcare provider type.

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1285030528 NPI number is provided on an as is basis without warranty of any kind. 1285030528 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-cities Geriatrics, Pc are for informational purposes only.