Victoria Family Practice, Llc | |
3212b Hampton Hwy Yorktown VA 23693-4904 | |
(757) 867-6160 | |
Not Available |
Full Name | Victoria Family Practice, Llc |
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Speciality | Family Medicine |
Location | 3212b Hampton Hwy, Yorktown, Virginia |
Authorized Official Name and Position | Timothy Lee Raines (MD) |
Authorized Official Contact | 7578676160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Victoria Family Practice, Llc 3212b Hampton Hwy Yorktown VA 23693-4904 Ph: (757) 867-6160 | Victoria Family Practice, Llc 3212b Hampton Hwy Yorktown VA 23693-4904 Ph: (757) 867-6160 |
NPI Number | 1740450584 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 04/17/2008 |
Medicare PECOS PAC ID | 1456512292 |
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Medicare Enrollment ID | O20120423000116 |
Identifier | Type | State | Issuer |
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1740450584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0101046857 (Virginia) | Primary |
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