Organization
DIVINE HEALTH CARE, LLC
Active
Other names
Divine Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA FOSTER CHINNERY EDD, FNP (OWNER)
(757) 826-0514
Entity
Organization
Contact information
Practice address
2207 EXECUTIVE DR, STE B, HAMPTON, VA 23666-2478
(757) 826-1600
(757) 826-0160
Mailing address
2207 EXECUTIVE DR, STE B, HAMPTON, VA 23666-2478
(757) 826-1600
(757) 826-0160
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0017000454
VA
Other
Enumeration date
01/30/2013
Last updated
02/13/2017
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