Primedoc Of Portsmouth, Pc | |
3636 High St Portsmouth VA 23707-3236 | |
(843) 237-3378 | |
(843) 237-5073 |
Full Name | Primedoc Of Portsmouth, Pc |
---|---|
Speciality | Internal Medicine |
Location | 3636 High St, Portsmouth, 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 |
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Primedoc Of Portsmouth, Pc Po Box 601824 Charlotte NC 28260-1824 Ph: (843) 237-3378 | Primedoc Of Portsmouth, Pc 3636 High St Portsmouth VA 23707-3236 Ph: (843) 237-3378 |
NPI Number | 1518990100 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518990100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | N/A (Virginia) | Primary |
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