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Organization
757 MEDICAL GROUP LC
Active
Organization
757 MEDICAL GROUP LC
Active
Other names
ADHD-AID
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BURR NP (PRESIDENT)
(757) 528-8881
Entity
Organization
Contact information
Practice address
21 FORREST DR, NEWPORT NEWS, VA 23606-1901
(757) 528-8881
(757) 528-8881
Mailing address
21 FORREST DR, NEWPORT NEWS, VA 23606-1901
(757) 528-8881
(757) 528-8881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
04/18/2022
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