is a Internal Medicine in Chesapeake, Virginia. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1518919695. The last update date is .
's current location address is 111 Coastal Way, Chesapeake, Virginia. You can contact this provider via phone number 7575499671 and fax number 7575496802. The mailing address for is 111 Coastal Way, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 111 Coastal Way, Chesapeake, Virginia |
| Phone Number | 7575499671 |
| Fax Number | 7575496802 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518919695 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 111 Coastal Way |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233204603 |
| Phone Number | 7575499671 |
| Fax Number | 7575496802 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 101055402 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5842522 | VA | -- |
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