Organization
FAMILY MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L CARAWAN (ADMINSITRATOR)
(757) 934-3434
Entity
Organization
Contact information
Practice address
2050 HILLPOINT BLVD N, SUFFOLK, VA 23434-7181
(757) 934-3434
(757) 538-9038
Mailing address
2050 HILLPOINT BLVD N, SUFFOLK, VA 23434-7181
(757) 934-3434
(757) 538-9038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036848
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005602785
—
VA
05
—
005623260
—
VA
05
—
005647371
—
VA
05
—
005651131
—
VA
05
—
005693811
—
VA
05
—
010025711
—
VA
Enumeration date
11/09/2006
Last updated
02/26/2010
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