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Organization
BEACH MEDICAL GROUP, PC
Active
Organization
BEACH MEDICAL GROUP, PC
Active
Other names
Total Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN TODESCA (MEDICAL BILLER)
(757) 363-8571
Entity
Organization
Contact information
Practice address
1801 PLEASURE HOUSE RD STE 105, VIRGINIA BEACH, VA 23455-2864
(757) 363-8571
(757) 363-8239
Mailing address
1801 PLEASURE HOUSE RD STE 105, VIRGINIA BEACH, VA 23455-2864
(757) 363-8571
(757) 363-8239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118946
BLUE CROSS
VA
Enumeration date
12/12/2007
Last updated
12/12/2007
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