| Primedoc Of Norfolk Pc | |
|
150 Kingsley Ln Norfolk VA 23505-4602 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Primedoc Of Norfolk Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Kingsley Ln, Norfolk, Virginia |
| Authorized Official Name and Position | Robert J Reynolds (PRESIDENT) |
| Authorized Official Contact | 8282103260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedoc Of Norfolk Pc Po Box 601835 Charlotte NC 28260-1835 Ph: (843) 237-3378 | Primedoc Of Norfolk Pc 150 Kingsley Ln Norfolk VA 23505-4602 Ph: (843) 237-3378 |
| NPI Number | 1588693725 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588693725 | NPI | - | NPPES |
| 1588693725 | Medicaid | VA | |
| 246875 | Other | VA | BLUE SHIELD |
| DF0829 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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