Primary Care Specialists, Inc | |
930 Majestic Ave Suite 220 Norfolk VA 23504-4055 | |
(757) 942-8020 | |
(757) 942-8015 |
Full Name | Primary Care Specialists, Inc |
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Speciality | Family Medicine |
Location | 930 Majestic Ave, Norfolk, Virginia |
Authorized Official Name and Position | James Edward Newby (BOARD OF MANAGERS) |
Authorized Official Contact | 7579428020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Specialists, Inc 930 Majestic Ave Suite 220 Norfolk VA 23504-4055 Ph: (757) 942-8020 | Primary Care Specialists, Inc 930 Majestic Ave Suite 220 Norfolk VA 23504-4055 Ph: (757) 942-8020 |
NPI Number | 1932507985 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 01/09/2018 |
Medicare PECOS PAC ID | 3072617380 |
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Medicare Enrollment ID | O20141229000345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932507985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Virginia) | Primary |
Provider Name | James E Newby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265524813 PECOS PAC ID: 8527162833 Enrollment ID: I20100831000978 |
Provider Name | Oliva M Newby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083788913 PECOS PAC ID: 4981866084 Enrollment ID: I20120508000192 |
Provider Name | Marcia Nicole Newby-goodman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992185011 PECOS PAC ID: 7113233669 Enrollment ID: I20190726000001 |
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