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Mid-atlantic Family Practice
Adult Medicine Physician in Virginia Beach, Virginia
NPI 1477766020

Mid-atlantic Family Practice is an Adult Medicine Physician based in Virginia Beach, VA and is specialized in Adult Medicine. Mid-atlantic Family Practice practices in Virginia Beach, VA. The NPI Number for Mid-atlantic Family Practice is 1477766020 and holds a License No. 0101047049 (Virginia).

The current practice location address for Mid-atlantic Family Practice is 1020 Independence Blvd, Virginia Beach, VA and can be reached out via phone at 757-460-2171.

Location: 1020 Independence Blvd, Virginia Beach, VA, 23455-5500
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Provider Profile Details
NPI Number
1477766020
Provider Name
Mid-atlantic Family Practice
Credential
Provider Entity Type
Organization
Address
1020 Independence Blvd, Virginia Beach, VA, 23455-5500
Phone Number
757-460-2171
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CK8605 01 VA MEDICARE RAILROAD
292836 01 VA ANTHEM BCBS
298394 01 VA MAMSI
60522 01 OPTIMA
1669473260 01 VA PROVIDER NPI
2944020 01 VA AETNA/US HEALTHCARE
005645697 05 VA
institution
Provider Business Practice Location Address Details
Address
1020 Independence Blvd
City
State
Zip
23455-5500
Phone Number
757-460-2171
Fax Number
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Provider Business Mailing Address Details
Address
1020 Independence Blvd
City
State
Zip
23455-5500
Phone Number
757-460-2171
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
0101047049 (Virginia)
Definition
Definition to come.
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