Complete Care Medical Group LLC
Dermatology in Montross, VA. Organization (NPI-2).
NPI number1982151577
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1982151577
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Care Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- Feb 15, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 0101236987 | VA | Yes |
| 213E00000X | Podiatrist | 010300694 | VA |
Practice location
41 Peach Grove LnMontross, VA 22520-2756
Phone 804-410-3322 · Fax 804-627-0010
Mailing address
41 Peach Grove LnMontross, VA 22520-2756
Phone 804-410-3322 · Fax 804-627-0010
Authorized official
Ashley K Williams
Operations Manager
8048237707
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