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1982470100
1212 MED PLLC
RICHMOND, VA
NPI
1982470100
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Doing Business As
1212MED
Entity Type
Organization
Authorized Contact
HENRY BURGESS
Owner
540-682-3082
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-11-29
Last Update Date
2024-03-07
Business Address
1212 MED PLLC
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222-2134
Phone number: 540-200-8821
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Mailing Address
1212 MED PLLC
674 LEES GAP RD
FINCASTLE, VA 24090-3869
Phone number: 540-682-3082
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