# MEDIVPS GROUP LLC

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

## Provider details

- **NPI number:** 1891455481
- **Authorized official:** VENITA PERRY (OWNER)
- **Authorized official phone:** (757) 517-6001

## Contact information

- **Practice address:** 2535 DEXTER ST E, CHESAPEAKE, VA 23324-3021
- **Practice address phone:** (757) 517-6001
- **Mailing address:** 2535 DEXTER ST E, CHESAPEAKE, VA 23324-3021
- **Mailing address phone:** (757) 517-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 12/22/2021