Organization
OLDE TOWNE MEDICAL PRACTICE PLLC
Active
Other names
Bhowik Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISHA BYRD (OFFICE BILLING CLERK)
(757) 399-0701
Entity
Organization
Contact information
Practice address
301 GOODE WAY STE 103, PORTSMOUTH, VA 23704-2266
(757) 399-0701
(757) 399-3731
Mailing address
301 GOODE WAY STE 103, PORTSMOUTH, VA 23704-2266
(757) 399-0701
(757) 399-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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