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Convenient Healthcare Va, LLC

Clinic/Center, Primary Care in Hampton, VA. Organization (NPI-2).

NPI number1831754324
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1831754324
Entity type
Organization (NPI-2)
Legal business name
Convenient Healthcare Va, LLC
Organization subpart
No
Enumeration date
May 9, 2019
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

2208 Executive Dr Ste D
Hampton, VA 23666-6603

Phone 757-964-9111 · Fax 757-751-0774

Mailing address

2208 Executive Dr Ste D
Hampton, VA 23666-6603

Phone 757-964-9111 · Fax 757-751-0774

Authorized official

Charlene Danielle Bell
Owner
7575043211

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