| |
4000 Coliseum Dr Ste 310 Hampton VA 23666-5906 | |
(757) 827-2300 | |
(757) 827-2121 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 4000 Coliseum Dr, Hampton, Virginia |
Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
Authorized Official Contact | 7572522765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4000 Coliseum Dr Ste 310 Hampton VA 23666-5906 Ph: (757) 827-2300 | 4000 Coliseum Dr Ste 310 Hampton VA 23666-5906 Ph: (757) 827-2300 |
NPI Number | 1770961237 |
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Provider Enumeration Date | 05/15/2015 |
Last Update Date | 11/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770961237 | NPI | - | NPPES |
C02033 | Other | VA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
207RR0500X | Internal Medicine - Rheumatology | (* (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 | |