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10510 Jefferson Ave Ste G Newport News VA 23601-3102 | |
| (757) 594-3800 | |
| (757) 591-9021 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 10510 Jefferson Ave Ste G, Newport News, Virginia |
| Authorized Official Name and Position | Braden Miller (CFO) |
| Authorized Official Contact | 7573165906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 Ph: (757) 316-5800 | 10510 Jefferson Ave Ste G Newport News VA 23601-3102 Ph: (757) 594-3800 |
| NPI Number | 1508019837 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508019837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |