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109 Railroad Ave Wakefield VA 23888-2747 | |
(757) 899-3521 | |
(757) 899-7104 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 Railroad Ave, Wakefield, 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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109 Railroad Ave Wakefield VA 23888-2747 Ph: (757) 899-3521 | 109 Railroad Ave Wakefield VA 23888-2747 Ph: (757) 899-3521 |
NPI Number | 1013035435 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
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1013035435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |