| Olde Towne Medical Practice Pllc | |
|
301 Goode Way Ste 103 Portsmouth VA 23704-2266 | |
| (757) 399-0701 | |
| (757) 399-3731 |
| Full Name | Olde Towne Medical Practice Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Goode Way Ste 103, Portsmouth, Virginia |
| Authorized Official Name and Position | Latisha Byrd (OFFICE BILLING CLERK) |
| Authorized Official Contact | 7573990701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olde Towne Medical Practice Pllc 301 Goode Way Ste 103 Portsmouth VA 23704-2266 Ph: (757) 399-0701 | Olde Towne Medical Practice Pllc 301 Goode Way Ste 103 Portsmouth VA 23704-2266 Ph: (757) 399-0701 |
| NPI Number | 1164268165 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164268165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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