Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Other names
Island Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E HORNER (CREDENTIALING COORDINATOR)
(410) 543-7531
Entity
Organization
Contact information
Practice address
6295 TEAL LN, ISLAND FAMILY MEDICINE, CHINCOTEAGUE, VA 23336-2207
(757) 336-2200
(757) 336-2211
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801
(410) 543-7252
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
04/30/2009
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