NPI 1184772824
Patient First
Practice location
- Address
- 5486 Indian River Rd, Virginia Beach, VA 23464-5365
- Phone
- (757) 424-2490
- Fax
- (757) 523-0508
- Mailing address
- 5000 Cox Rd STE 100, Glen Allen, VA 23060-9263
Authorised official
- Name
- Judy Wood
- Title
- Dms
- Phone
- (757) 424-2490
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1184772824
- Entity type
- Organization
- NPI issued
- 8 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.