OrganizationActive
1212 Med PLLC
NPI 1982470100 · Family Medicine Physician · Richmond, VA
Provider details
- NPI number
- 1982470100
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Henry Burgess, Owner
Practice location
405 E Laburnum Ave Ste 3
Richmond, VA 23222-2134
Phone: (540) 200-8821
Fax: (540) 779-7889
Mailing address
674 Lees Gap Rd
Fincastle, VA 24090-3869
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.