| Eagle Harbor Primary Care | |
|
13478 Carrollton Blvd Unit D&e Carrollton VA 23314-3208 | |
| (757) 238-7043 | |
| (757) 238-7052 |
| Full Name | Eagle Harbor Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 13478 Carrollton Blvd, Carrollton, Virginia |
| Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Harbor Primary Care 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Eagle Harbor Primary Care 13478 Carrollton Blvd Unit D&e Carrollton VA 23314-3208 Ph: (757) 238-7043 |
| NPI Number | 1215953872 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215953872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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