Organization · NPI-2

Advantage Family Care, P.C.

Family Medicine · Chesapeake, VA

NPI number1073752838
StatusActive
Last updated in NPPESJan 10, 2012

Details

NPI
1073752838
Entity type
Organization (NPI-2)
Legal business name
Advantage Family Care, P.C.
Organization subpart
No
Enumeration date
Feb 18, 2009
Last updated
Jan 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101228019VAYes

Practice location

3105 American Legion Rd Ste A
Chesapeake, VA 23321-5653

Phone 757-686-3999 · Fax 757-686-3015

Mailing address

3105 American Legion Rd Ste A
Chesapeake, VA 23321-5653

Phone 757-686-3999 · Fax 757-686-3015

Authorized official

Latanya Gray
President
7576863999

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