Organization Name: | RICHARD A JOYCE |
NPI Number: | 1134411234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD A JOYCE (OWNER) |
Mailing Address: | 295 E Main St Scottsville |
State: | VA US |
Postal Code: | 245904995 |
Phone Number: | 4342866434 |
Fax Number: | 4342866436 |
NPI Enumeration Date: | 05/07/2011 |
NPI Last Update Date: | 05/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 0101040938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |