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2613 Taylor Rd Ste 201 Chesapeake VA 23321-2205 | |
(757) 738-1600 | |
(757) 465-8616 |
Full Name | |
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Speciality | Family Medicine |
Location | 2613 Taylor Rd Ste 201, Chesapeake, Virginia |
Authorized Official Name and Position | Wilbur Gay (CFO) |
Authorized Official Contact | 8645617672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | 2613 Taylor Rd Ste 201 Chesapeake VA 23321-2205 Ph: (757) 738-1600 |
NPI Number | 1699705699 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 09/24/2020 |
Medicare PECOS PAC ID | 5799685632 |
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Medicare Enrollment ID | O20181022001300 |
Identifier | Type | State | Issuer |
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1699705699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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