Tracey O Pennington in Virginia Beach - Sports Medicine

Tracey O Pennington - NPI 1497791669

Tracey O Pennington is a Sports Medicine in Virginia Beach, Virginia. Tracey O Pennington practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tracey O Pennington is 1497791669. The last update date is 2016-02-03.

Tracey O Pennington's current location address is 5320 Providence Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7579622121 and fax number 7579621911. The mailing address for Tracey O Pennington is 5320 Providence Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey O Pennington
Address 5320 Providence Rd, Virginia Beach, Virginia
Phone Number 7579622121
Fax Number 7579621911
Sole Proprietor N
Credentials M.D.,M.P.H

NPI Number Detail

NPI Number 1497791669
Provider Enumeration Date 2006-06-22
Last Updated Date 2016-02-03

Provider Mailing Address Detail

Address 5320 Providence Rd
City Virginia Beach
State Virginia (VA)
Post Code 234644122
Phone Number 7579622121
Fax Number 7579621911

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 2081S0010X
Licence No 101231849
Definition:
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of

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FAQs about Tracey O Pennington

What is the unique 10-digit identification code issued to Tracey O Pennington by the Centers for Medicare & Medicaid Services?

The Tracey O Pennington has been assigned the NPI (National Provider Identifier) 1497791669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Tracey O Pennington is physically located?

The Tracey O Pennington is situated at the following address: 5320 Providence Rd, Virginia Beach, VA 234644122.

What is the area of specialization for Tracey O Pennington, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tracey O Pennington is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081S0010X.

On what date did the Tracey O Pennington receive its 1497791669 assignment from the Centers for Medicare & Medicaid Services?

The Tracey O Pennington was assigned its 1497791669 by the Centers for Medicare & Medicaid Services on 2006-06-22.

When was the information regarding Tracey O Pennington, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tracey O Pennington, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-02-03.

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