| Internal Medicine Of Williamsburg, Inc. | |
|
227 Mclaws Cir Williamsburg VA 23185-5649 | |
| (757) 564-8182 | |
| (757) 564-0077 |
| Full Name | Internal Medicine Of Williamsburg, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 227 Mclaws Cir, Williamsburg, Virginia |
| Authorized Official Name and Position | David Gordon Hundt (PRESIDENT) |
| Authorized Official Contact | 7575648182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Williamsburg, Inc. 227 Mclaws Cir Williamsburg VA 23185-5649 Ph: (757) 564-8182 | Internal Medicine Of Williamsburg, Inc. 227 Mclaws Cir Williamsburg VA 23185-5649 Ph: (757) 564-8182 |
| NPI Number | 1366622326 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 2668461930 |
|---|---|
| Medicare Enrollment ID | O20040511000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366622326 | NPI | - | NPPES |
| C09008 | Other | VA | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101232252 (Virginia) | Primary |
| Provider Name | David Gordon Hundt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053311613 PECOS PAC ID: 9537158803 Enrollment ID: I20040511000934 |
| Provider Name | Elizabeth Ann Burkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942209002 PECOS PAC ID: 8921173055 Enrollment ID: I20100825000417 |
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