| |
2100 Executive Dr Second Floor Hampton VA 23666-2402 | |
(757) 745-7440 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Urgent Care |
Location | 2100 Executive Dr, Hampton, Virginia |
Authorized Official Name and Position | Dwain Davis Wilkerson (PRESIDENT) |
Authorized Official Contact | 7577457440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2100 Executive Dr Second Floor Hampton VA 23666-2402 Ph: (757) 745-7440 | 2100 Executive Dr Second Floor Hampton VA 23666-2402 Ph: (757) 745-7440 |
NPI Number | 1871041921 |
---|---|
Provider Enumeration Date | 09/19/2016 |
Last Update Date | 10/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871041921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Virginia) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (Virginia) | Primary |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
Gastroenterology Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Marcella Rd, Suite A, Hampton, VA 23666 Phone: 757-826-6539 | |
Southampton Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Executive Dr, Hampton, VA 23666 Phone: 757-723-0252 Fax: 866-837-2972 | |