CHESTER SQUARE FAMILY PRACTICE PLC NPI 1023292885

NPI Information

CHESTER SQUARE FAMILY PRACTICE, PLC is a family medicine in Chester, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHESTER SQUARE FAMILY PRACTICE, PLC NPI is 1023292885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4619 CHESTER SQUARE ROAD
CHESTER, VA
ZIP 23831-726
Phone: (804) 778-4747
Fax: (804) 778-4487

The provider's authorized official is Brian Grieg Burijon .
The authorized official title is M.d./business Owner and has the following contact phone number (804) 778-4747.

The CLIA number assigned to this NPI record is 49D1079793 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 10/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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