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Organization

FIVE STAR HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES HALVERSON DO (OWNER)
(757) 473-9300
Entity
Organization

Contact information

Practice address
4867 BAXTER RD STE 105, VIRGINIA BEACH, VA 23462-4469
(757) 473-9300
(757) 473-9361
Mailing address
320 WESTSIDE STATION DR, WINCHESTER, VA 22601-2839
(888) 886-8054

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/17/2019
Last updated
01/17/2019
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