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2147 Old Greenbrier Rd B Chesapeake VA 23320-2635 | |
(757) 366-0200 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2147 Old Greenbrier Rd, Chesapeake, Virginia |
Authorized Official Name and Position | Travis Lee (PHYSICIAN) |
Authorized Official Contact | 7573660200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 15763 Chesapeake VA 23328-5763 Ph: (757) 366-0200 | 2147 Old Greenbrier Rd B Chesapeake VA 23320-2635 Ph: (757) 366-0200 |
NPI Number | 1780855510 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 11/23/2015 |
Identifier | Type | State | Issuer |
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1780855510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0101241301 (Virginia) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0101241301 (Virginia) | Secondary |
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