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7547 Medical Drive Suite 2200 Gloucester VA 23061 | |
(804) 693-2720 | |
(804) 694-0597 |
Full Name | |
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Speciality | Internal Medicine |
Location | 7547 Medical Drive, Gloucester, 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) 594-4006 | 7547 Medical Drive Suite 2200 Gloucester VA 23061 Ph: (804) 693-2720 |
NPI Number | 1790863645 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 09/28/2011 |
Identifier | Type | State | Issuer |
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1790863645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Courthouse Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6760 Main St, Gloucester, VA 23061 Phone: 804-693-3500 Fax: 804-693-3503 | |
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