Medicine with a Mission
When Dr. Steve Mandell came to Bowling Green, Virginia in July, 1985,  he made a commitment to the people of Caroline County and the surrounding community.   Initially opening a practice with Dr. David Kelly that was called Virginia Internal Medicine Associates, they were the first doctors in the county to offer Board-certified outpatient and hospital inpatient medical care.  Now, more than twenty-five years later, that commitment is just as strong as it was the first day our doors opened.  With the relocation of Dr. Kelly and the arrival of Dr. Dapena in 1996, our name changed to Virginia Primary Care Associates.  However, we are still dedicated to the health and welfare not only of our patients, but also our employees, our providers, and our community.  In order to effectively rise to this calling, we firmly believe in a multifaceted approach to our work and to the delivery of health care services.  This approach integrates a strong foundation in the application of scientific medical knowledge with an unwavering foundation in our shared Christian faith and belief in the primacy of our relationship with the Lord.

In this time of increasing specialization and fragmentation in the health care system, we work to provide our patients as integrated and comprehensive a medical home as possible.  Our patient population ranges from newborn infants to elderly nonagenerians and all groups in-between.  We travel daily to see our hospitalized patients at Mary Washington Hospital in Fredericksburg, Virginia, and we continue to manage our own patients' recovery and rehabilitation or long-term care at our local nursing facility.  In short, we view ourselves as managing and directing our patients' care by coordinating all the various resources the health care system has to offer.

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