Practitioners Heart Healthcare

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1275381824

Practitioners Heart Healthcare is a Geriatric Medicine (Internal Medicine) Physician in Providence Forge, Virginia. Registered with an NPI since 2024.

In the registry since: 2024

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Practice location Address checks out

4760 Bishops Gate Way
Providence Forge, VA 23140-4438
Phone: (804) 661-6519
Fax: (904) 372-6121

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RG0300X

Record details

NPI number	1275381824
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Carlita Lewis — Practice Manager · (804) 661-6519
NPI enumerated	May 8, 2024
Last updated in NPPES	May 8, 2024
Certification date	May 8, 2024
Mailing address	4760 Bishops Gate Way, Providence Forge, VA 23140-4438