| Churchland Family Medicine Pc | |
|
3235 Academy Ave Suite 102 Portsmouth VA 23703-3200 | |
| (757) 484-7386 | |
| (757) 484-1913 |
| Full Name | Churchland Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3235 Academy Ave, Portsmouth, Virginia |
| Authorized Official Name and Position | Frederick C Crum (PRESIDENT) |
| Authorized Official Contact | 7574847386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchland Family Medicine Pc 3235 Academy Ave Suite 102 Portsmouth VA 23703-3200 Ph: (757) 484-7386 | Churchland Family Medicine Pc 3235 Academy Ave Suite 102 Portsmouth VA 23703-3200 Ph: (757) 484-7386 |
| NPI Number | 1871732784 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038607 (Virginia) | Primary |
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