| Deep Creek Family Practice | |
|
2605 Moses Grandy Trl Suite D Chesapeake VA 23323-6712 | |
| (757) 485-3600 | |
| (757) 485-9458 |
| Full Name | Deep Creek Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 Moses Grandy Trl, Chesapeake, Virginia |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8645617672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Creek Family Practice 2605 Moses Grandy Trl Suite D Chesapeake VA 23323-6712 Ph: (757) 485-3600 | Deep Creek Family Practice 2605 Moses Grandy Trl Suite D Chesapeake VA 23323-6712 Ph: (757) 485-3600 |
| NPI Number | 1033149034 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033149034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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