Provider Demographics
NPI:1952358152
Name:JAMES RIVER OB GYN P C
Entity Type:Organization
Organization Name:JAMES RIVER OB GYN P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-272-5508
Mailing Address - Street 1:7101 JAHNKE RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-272-5508
Mailing Address - Fax:804-323-7564
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:SUITE 280
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-272-5508
Practice Address - Fax:804-323-7564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC02939OtherMEICARE PTAN
VAC02939OtherMEICARE PTAN