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535 Independence Pkwy Ste 500 Chesapeake VA 23320-5176 | |
(757) 395-6636 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 535 Independence Pkwy, 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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535 Independence Pkwy Ste 500 Chesapeake VA 23320-5176 Ph: (757) 395-6636 | 535 Independence Pkwy Ste 500 Chesapeake VA 23320-5176 Ph: (757) 395-6636 |
NPI Number | 1588955033 |
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Provider Enumeration Date | 05/02/2011 |
Last Update Date | 11/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588955033 | NPI | - | NPPES |
C02033 | Other | VA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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