Golden Physician Partners, LLC
Internal Medicine, Geriatric Medicine in Petersburg, VA. Organization (NPI-2).
NPI number1407226509
StatusActive
Last updated in NPPESSep 8, 2016
Details
- NPI
- 1407226509
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Physician Partners, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2015
- Last updated
- Sep 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | Yes |
Practice location
250 Flank RdPetersburg, VA 23805-9117
Phone 804-861-2223
Mailing address
5665 New Northside DrSuite 320
Atlanta, GA 30328-5831
Phone 770-874-5400
Authorized official
Preston Williams Smith
Chief Revenue Officer
7708745400
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