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Organization
SHC MEDICAL PARTNERS OF VIRGINIA, LLC
Active
Organization
SHC MEDICAL PARTNERS OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY LOGAN (VP OF OPERATIONS)
(502) 558-2193
Entity
Organization
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
(757) 623-4646
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
VA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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