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4020 Raintree Rd Suite B Chesapeake VA 23321-3749 | |
(757) 465-8450 | |
(757) 465-8616 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4020 Raintree Rd, Chesapeake, Virginia |
Authorized Official Name and Position | Michael K Kerner (CEO) |
Authorized Official Contact | 7576735929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4020 Raintree Rd Suite B Chesapeake VA 23321-3749 Ph: (757) 465-8450 | 4020 Raintree Rd Suite B Chesapeake VA 23321-3749 Ph: (757) 465-8450 |
NPI Number | 1508893892 |
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Provider Enumeration Date | 06/26/2006 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
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1508893892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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