Organization
ADVANTAGE FAMILY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATANYA GRAY MD (PRESIDENT)
(757) 686-3999
Entity
Organization
Contact information
Practice address
3105 AMERICAN LEGION RD STE A, CHESAPEAKE, VA 23321-5653
(757) 686-3999
(757) 686-3015
Mailing address
3105 AMERICAN LEGION RD STE A, CHESAPEAKE, VA 23321-5653
(757) 686-3999
(757) 686-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101228019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5641420
—
VA
Enumeration date
02/18/2009
Last updated
01/10/2012
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