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930 Majestic Ave Suite 220 Norfolk VA 23504-4055 | |
| (757) 627-6892 | |
| (757) 627-5809 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Majestic Ave, Norfolk, Virginia |
| Authorized Official Name and Position | James Edward Newby (PRESIDENT) |
| Authorized Official Contact | 7576276892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
930 Majestic Ave Suite 220 Norfolk VA 23504-4055 Ph: (757) 627-6892 | 930 Majestic Ave Suite 220 Norfolk VA 23504-4055 Ph: (757) 627-6892 |
| NPI Number | 1194899534 |
|---|---|
| Provider Enumeration Date | 11/18/2006 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194899534 | NPI | - | NPPES |
| VAA103551 | Other | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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