| |
2104 Executive Dr Hampton VA 23666-2402 | |
(757) 736-3700 | |
(757) 827-9978 |
Full Name | |
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Speciality | Family Medicine |
Location | 2104 Executive Dr, Hampton, 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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2104 Executive Dr Hampton VA 23666-2402 Ph: (757) 736-3700 | 2104 Executive Dr Hampton VA 23666-2402 Ph: (757) 736-3700 |
NPI Number | 1972759314 |
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Provider Enumeration Date | 08/18/2008 |
Last Update Date | 01/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972759314 | NPI | - | NPPES |
C02033 | Other | VA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
Gastroenterology Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Marcella Rd, Suite A, Hampton, VA 23666 Phone: 757-826-6539 | |
Southampton Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Executive Dr, Hampton, VA 23666 Phone: 757-723-0252 Fax: 866-837-2972 | |