| |
1417 N Battlefield Blvd Suite 360 Chesapeake VA 23320-4516 | |
(757) 410-3562 | |
(757) 410-3563 |
Full Name | |
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Speciality | Family Medicine |
Location | 1417 N Battlefield Blvd, Chesapeake, Virginia |
Authorized Official Name and Position | Ivy V Savoy-whitfield (PRESIDENT) |
Authorized Official Contact | 7574103562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1331 Chesapeake VA 23327-1331 Ph: (757) 410-3562 | 1417 N Battlefield Blvd Suite 360 Chesapeake VA 23320-4516 Ph: (757) 410-3562 |
NPI Number | 1477650679 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477650679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 0101039911 (Virginia) | Primary |
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