Convenient Care Of Tidewater | |
113 Gainsborough Sq Suite 103 Chesapeake VA 23320-1713 | |
(757) 549-0222 | |
Not Available |
Full Name | Convenient Care Of Tidewater |
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Speciality | Family Medicine |
Location | 113 Gainsborough Sq, Chesapeake, Virginia |
Authorized Official Name and Position | Anthony A Morris (PRESIDENT) |
Authorized Official Contact | 7575490222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Convenient Care Of Tidewater Po Box 2518 Chesapeake VA 23327-2518 Ph: (757) 549-0222 | Convenient Care Of Tidewater 113 Gainsborough Sq Suite 103 Chesapeake VA 23320-1713 Ph: (757) 549-0222 |
NPI Number | 1013088186 |
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Provider Enumeration Date | 11/12/2006 |
Last Update Date | 01/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013088186 | NPI | - | NPPES |
72637 | Other | VA | OPTIMA |
104078 | Other | VA | ANTHEM |
0004520572 | Other | VA | AETNA |
010041741 | Medicaid | VA | |
MEDCO | Other | VA | 75063 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101050282 (Virginia) | Primary |
Orthovirginia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 667 Kingsborough Square, Suite 300, Chesapeake, VA 23320 Phone: 757-422-8476 Fax: 804-435-2172 | |
Ultimate Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1437 Sams Dr Ste 122, Chesapeake, VA 23320 Phone: 757-549-3668 | |