Wellspring Family Medical Center | |
648 Independence Pkwy Suite 300 Chesapeake VA 23320-5206 | |
(757) 312-0166 | |
(757) 312-8116 |
Full Name | Wellspring Family Medical Center |
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Speciality | General Practice |
Location | 648 Independence Pkwy, Chesapeake, Virginia |
Authorized Official Name and Position | Nathan L Riles (DOCTOR) |
Authorized Official Contact | 7573120166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellspring Family Medical Center 648 Independence Pkwy Suite 300 Chesapeake VA 23320-5206 Ph: (757) 312-0166 | Wellspring Family Medical Center 648 Independence Pkwy Suite 300 Chesapeake VA 23320-5206 Ph: (757) 312-0166 |
NPI Number | 1730304742 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730304742 | NPI | - | NPPES |
0101044787 | Other | VA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101044787 (Virginia) | Primary |
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