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3401 W Mercury Blvd Hampton VA 23666-3704 | |
(757) 827-1940 | |
(757) 896-4715 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3401 W Mercury Blvd, Hampton, 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) 316-5800 | 3401 W Mercury Blvd Hampton VA 23666-3704 Ph: (757) 827-1940 |
NPI Number | 1699796359 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 03/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699796359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Virginia) | Secondary |
207R00000X | Internal Medicine | (Virginia) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
Gastroenterology Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Marcella Rd, Suite A, Hampton, VA 23666 Phone: 757-826-6539 | |
Southampton Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Executive Dr, Hampton, VA 23666 Phone: 757-723-0252 Fax: 866-837-2972 | |