| |
1413 Kempsville Rd Chesapeake VA 23320-8134 | |
(757) 366-0692 | |
(757) 366-9118 |
Full Name | |
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Speciality | Family Medicine |
Location | 1413 Kempsville Rd, Chesapeake, Virginia |
Authorized Official Name and Position | Alesia Wright Griffin (OWNER) |
Authorized Official Contact | 7573660692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 13129 Chesapeake VA 23325-0129 Ph: (757) 366-0692 | 1413 Kempsville Rd Chesapeake VA 23320-8134 Ph: (757) 366-0692 |
NPI Number | 1801821731 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 12/12/2011 |
Medicare PECOS PAC ID | 5597720003 |
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Medicare Enrollment ID | O20041123001323 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801821731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0101227850 (Virginia) | Primary |
Provider Name | Alesia W Griffin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720006588 PECOS PAC ID: 6406811918 Enrollment ID: I20041129000162 |
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