Provider Demographics
NPI:1134411234
Name:RICHARD A JOYCE
Entity type:Organization
Organization Name:RICHARD A JOYCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-286-6434
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:295 E. MAIN ST.
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24590-0567
Mailing Address - Country:US
Mailing Address - Phone:434-286-6434
Mailing Address - Fax:434-286-6436
Practice Address - Street 1:295 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24590-4995
Practice Address - Country:US
Practice Address - Phone:434-286-6434
Practice Address - Fax:434-286-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-07
Last Update Date:2011-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101040938261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care