Organization
SUFFOLK UNITED, INC
Active
Organization
SUFFOLK UNITED, INC
Active
Other names
PRIMECARE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LAWRENCE (BILLING MANAGER)
(757) 372-4407
Entity
Organization
Contact information
Practice address
301 GOODE WAY STE 102, PORTSMOUTH, VA 23704-2266
(757) 655-0935
Mailing address
732 EDEN WAY N STE E104, CHESAPEAKE, VA 23320-2798
(757) 372-4407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/07/2023
Last updated
04/24/2025
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