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15 S Dupont Hwy Dover DE 19901-7430 | |
(302) 674-1514 | |
(302) 674-1587 |
Full Name | |
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Speciality | Family Medicine |
Location | 15 S Dupont Hwy, Dover, Delaware |
Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
Authorized Official Contact | 7633496740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | 15 S Dupont Hwy Dover DE 19901-7430 Ph: (302) 674-1514 |
NPI Number | 1265770135 |
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Provider Enumeration Date | 01/28/2013 |
Last Update Date | 05/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265770135 | NPI | - | NPPES |
1255692182 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Secondary |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |