Southern Physical Medicine Associates, Inc

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NPI Provider: 1528063013
Contact Name: Bonner Henderson Charles
Position: Medical Director
Phone: (804) 282-6953

Southern Physical Medicine Associates, Inc Information:

Southern Physical Medicine Associates, Inc organization have npi 1528063013, taxonomy code is 2080S0010X with license number is 715002791 in . This Business address located in 5922 W Broad St, Richmond, VA 23230 Virginia. Get directions of Southern Physical Medicine Associates, Inc.

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Practice Location
Address: 5922 W Broad St, Richmond, VA 23230
Phone: (804) 282-6953

Business Location

Address: 5922 W Broad St, Richmond, VA 23230

Phone: (804) 282-6953

Fax: (804) 282-8215

Taxonomy

Taxonomy Code: 2080S0010X

License Number: 715002791

License Number of State: VA

Primary Taxonomy Switch: X

Enumeration Date: 6/20/2005

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