| Nansemond Suffolk Family Practice | |
|
2897 Bridge Rd Suffolk VA 23435-1799 | |
| (757) 484-7248 | |
| (757) 484-8316 |
| Full Name | Nansemond Suffolk Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2897 Bridge Rd, Suffolk, Virginia |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8645617672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nansemond Suffolk Family Practice 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Nansemond Suffolk Family Practice 2897 Bridge Rd Suffolk VA 23435-1799 Ph: (757) 484-7248 |
| NPI Number | 1518994805 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 5799685632 |
|---|---|
| Medicare Enrollment ID | O20181022001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518994805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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