| Granby Internal Medicine Pc | |
|
110 Kingsley Lane Suite 309 Norfolk VA 23505 | |
| (757) 889-2006 | |
| (757) 889-6559 |
| Full Name | Granby Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Kingsley Lane, Norfolk, Virginia |
| Authorized Official Name and Position | William N Hovland (CO OWNER PRESIDENT) |
| Authorized Official Contact | 7578892006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granby Internal Medicine Pc 110 Kingsley Lane Suite 309 Norfolk VA 23505 Ph: (757) 889-2006 | Granby Internal Medicine Pc 110 Kingsley Lane Suite 309 Norfolk VA 23505 Ph: (757) 889-2006 |
| NPI Number | 1326067364 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 11/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326067364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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