James Detrick

Physician Assistant · Midlothian, VA

Individual Active NPI

NPI number 1346273869

Practice location

11020 Hull Street Rd
Midlothian, VA 23112-3200
Phone
(804) 744-6310

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NPI record

NPI
1346273869
Entity type
Individual (Type 1)
Enumeration date
July 8, 2006
Last updated
October 18, 2021
Certified
October 18, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 0110002348 VA
Physician Assistant 363A00000X PENDING NC

Mailing address

PO Box 409540
Atlanta, GA 30384-9540

About James Detrick

James Detrick is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 11020 Hull Street Rd, Midlothian, VA 23112-3200. The NPI number 1346273869 was assigned on July 8, 2006 and the record was last updated on October 18, 2021.

James Detrick lists 2 licenses in the registry: #0110002348 (VA) for Physician Assistant; #PENDING (NC) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Detrick?

The NPI number is 1346273869.

What is the phone number of James Detrick?

The phone number listed for the practice location is (804) 744-6310.

Where is James Detrick located?

11020 Hull Street Rd, Midlothian, VA 23112-3200.

What is the taxonomy code for James Detrick?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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