| |
816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 | |
(757) 233-9055 | |
(757) 228-5575 |
Full Name | |
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Speciality | Family Medicine |
Location | 816 Industrial Ave, Chesapeake, Virginia |
Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
Authorized Official Contact | 7572523344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 Ph: (757) 233-9055 | 816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 Ph: (757) 233-9055 |
NPI Number | 1396133344 |
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Provider Enumeration Date | 12/29/2014 |
Last Update Date | 12/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396133344 | NPI | - | NPPES |
C02033 | Other | VA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Virginia) | Primary |
207R00000X | Internal Medicine | (Virginia) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
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