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856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 | |
| (757) 316-5800 | |
| (757) 534-2195 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 856 J Clyde Morris Blvd Ste A, Newport News, Virginia |
| Authorized Official Name and Position | Billie Jo Brown (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7573165901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-3600 | 856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 Ph: (757) 316-5800 |
| NPI Number | 1659673440 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659673440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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 | |