# SHC MEDICAL PARTNERS OF VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851757355
- **Authorized official:** PENNY LOGAN (VP OF OPERATIONS)
- **Authorized official phone:** (502) 558-2193

## Contact information

- **Practice address:** 1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
- **Practice address phone:** (757) 623-5602
- **Practice address fax:** (757) 623-4646
- **Mailing address:** 12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
- **Mailing address phone:** (502) 568-7364
- **Mailing address fax:** (502) 568-7136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | VA | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 01/13/2016