| Promethean Group | |
|
3920 Vanderhorst Dr Virginia Beach VA 23462-7531 | |
| (757) 828-6612 | |
| Not Available |
| Full Name | Promethean Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3920 Vanderhorst Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Ameanthea Blanco-knezovich (DIRECTOR) |
| Authorized Official Contact | 7574703601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promethean Group 3920 Vanderhorst Dr Virginia Beach VA 23462-7531 Ph: () - | Promethean Group 3920 Vanderhorst Dr Virginia Beach VA 23462-7531 Ph: (757) 828-6612 |
| NPI Number | 1538699038 |
|---|---|
| Provider Enumeration Date | 06/16/2017 |
| Last Update Date | 06/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538699038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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