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25228 Lankford Highway Onley VA 23418-2341 | |
(757) 414-0400 | |
(757) 414-0569 |
Full Name | |
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Speciality | Clinic/Center |
Location | 25228 Lankford Highway, Onley, Virginia |
Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7574140400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | 25228 Lankford Highway Onley VA 23418-2341 Ph: (757) 414-0400 |
NPI Number | 1649987058 |
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Provider Enumeration Date | 11/04/2022 |
Last Update Date | 02/22/2023 |
Medicare PECOS PAC ID | 2668380106 |
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Medicare Enrollment ID | O20230418000926 |
Identifier | Type | State | Issuer |
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1649987058 | NPI | - | NPPES |