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5659 Parkway Dr Gloucester VA 23061-3792 | |
(757) 772-6119 | |
(757) 267-9109 |
Full Name | |
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Speciality | Clinic/center |
Location | 5659 Parkway Dr, Gloucester, Virginia |
Authorized Official Name and Position | Barbara Smith (VICE PRESIDENT) |
Authorized Official Contact | 6094173047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4374 New Town Ave Williamsburg VA 23188-2865 Ph: (757) 772-6124 | 5659 Parkway Dr Gloucester VA 23061-3792 Ph: (757) 772-6119 |
NPI Number | 1033625710 |
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Provider Enumeration Date | 12/18/2017 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
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1033625710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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