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13478 Carrollton Blvd Unit D&e Carrollton VA 23314-3208 | |
(757) 238-7043 | |
(757) 238-7052 |
Full Name | |
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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 |
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856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | 13478 Carrollton Blvd Unit D&e Carrollton VA 23314-3208 Ph: (757) 238-7043 |
NPI Number | 1215953872 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 10/15/2014 |
Identifier | Type | State | Issuer |
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1215953872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |