| Indelible Management Solutions | |
|
4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 | |
| (904) 371-6593 | |
| Not Available |
| Full Name | Indelible Management Solutions |
|---|---|
| Speciality | Internal Medicine |
| Location | 4445 Corporation Ln Ste 264, Virginia Beach, Virginia |
| Authorized Official Name and Position | Joshua Hay (OWNER) |
| Authorized Official Contact | 9043716593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indelible Management Solutions 4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 Ph: (904) 371-6593 | Indelible Management Solutions 4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 Ph: (904) 371-6593 |
| NPI Number | 1801517438 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 4789060310 |
|---|---|
| Medicare Enrollment ID | O20221004003307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801517438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Ermagean H Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518046176 PECOS PAC ID: 4284733668 Enrollment ID: I20070626000408 |
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