# OBICI MEDICAL MANAGEMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wakefield Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720017379
- **Authorized official:** WILLIAM CARPENTAR (SR VP-CFO)
- **Authorized official phone:** (757) 934-4000

## Contact information

- **Practice address:** 109 RAILROAD AVENUE, WAKEFIELD, VA 23434
- **Practice address phone:** (757) 899-3521
- **Practice address fax:** (757) 899-7104
- **Mailing address:** 2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
- **Mailing address phone:** (757) 934-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101018926 | VA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020