Unknown Individual – Internal Medicine Physician, NPI 1275503500
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Petersburg Post Office, 29, Franklin Street, Blandford, Petersburg, Virginia, 23803, United States
PETERSBURG, VA 238030030
Phone: (804) 524-7123
Fax: (804) 524-4645
Type: Mailing
Central State Hospital, 26317, West Washington Street, Petersburg, Virginia, 23803, United States
PETERSBURG, VA 23803
Phone: (804) 524-7123
Fax: (804) 524-4645
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23803)
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