| |
801 Greenbrier Pkwy Ste B Chesapeake VA 23320-3822 | |
(757) 819-7547 | |
(757) 842-6570 |
Full Name | |
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Speciality | Family Medicine |
Location | 801 Greenbrier Pkwy Ste B, Chesapeake, Virginia |
Authorized Official Name and Position | Ruth Ann Watson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7578197547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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801 Greenbrier Pkwy Ste B Chesapeake VA 23320-3822 Ph: (757) 819-7547 | 801 Greenbrier Pkwy Ste B Chesapeake VA 23320-3822 Ph: (757) 819-7547 |
NPI Number | 1922510361 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 01/04/2022 |
Medicare PECOS PAC ID | 0648664946 |
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Medicare Enrollment ID | O20220302003011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922510361 | NPI | - | NPPES |
Provider Name | Sergey N Zhitar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881639375 PECOS PAC ID: 9234184193 Enrollment ID: I20050314001039 |
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