Provider Demographics
NPI:1336106004
Name:DRS. ROSE AND TURNER, PC
Entity Type:Organization
Organization Name:DRS. ROSE AND TURNER, PC
Other - Org Name:JAMES RIVER PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIGHBORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-288-8338
Mailing Address - Street 1:7605 FOREST AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4938
Mailing Address - Country:US
Mailing Address - Phone:804-288-8338
Mailing Address - Fax:804-282-2424
Practice Address - Street 1:7605 FOREST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4938
Practice Address - Country:US
Practice Address - Phone:804-288-8338
Practice Address - Fax:804-282-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032142207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6040951Medicaid
VA6042244Medicaid
VA6040951Medicaid
VAC88361Medicare UPIN
VA110002617Medicare ID - Type UnspecifiedDR. TURNER
VA110002057Medicare ID - Type UnspecifiedDR. ROSE