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390 Virginia St Suite A Urbanna VA 23175-9903 | |
(804) 285-6020 | |
(804) 758-2765 |
Full Name | |
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Speciality | Family Medicine |
Location | 390 Virginia St, Urbanna, Virginia |
Authorized Official Name and Position | George Butler (DIRECTOR CORPORATE RESPONSIBILITY) |
Authorized Official Contact | 8042810271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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390 Virginia St Suite A Urbanna VA 23175-9903 Ph: (804) 285-6020 | 390 Virginia St Suite A Urbanna VA 23175-9903 Ph: (804) 285-6020 |
NPI Number | 1639506538 |
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Provider Enumeration Date | 10/09/2013 |
Last Update Date | 10/09/2013 |
Identifier | Type | State | Issuer |
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1639506538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |