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4001 Coliseum Dr Ste. 310 Hampton VA 23666-6257 | |
(757) 723-9380 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 4001 Coliseum 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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4001 Coliseum Dr Ste. 310 Hampton VA 23666-6257 Ph: (757) 723-9380 | 4001 Coliseum Dr Ste. 310 Hampton VA 23666-6257 Ph: (757) 723-9380 |
NPI Number | 1255587697 |
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Provider Enumeration Date | 08/18/2008 |
Last Update Date | 12/02/2011 |
Identifier | Type | State | Issuer |
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1255587697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal 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 | |
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