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2304 W Mercury Blvd Hampton VA 23666-3115 | |
(757) 951-1579 | |
(757) 951-1580 |
Full Name | |
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Speciality | Family Medicine |
Location | 2304 W Mercury Blvd, Hampton, Virginia |
Authorized Official Name and Position | George H. Morison (PRESIDENT) |
Authorized Official Contact | 8049685700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 968-5700 | 2304 W Mercury Blvd Hampton VA 23666-3115 Ph: (757) 951-1579 |
NPI Number | 1568891315 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 9931011434 |
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Medicare Enrollment ID | O20150203000188 |
Identifier | Type | State | Issuer |
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1568891315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
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