Individual
OLLIE T. ADCOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2148 W MERCURY BLVD, HAMPTON, VA 23666-3111
(757) 827-1940
(757) 896-4715
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035802
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164427852
—
VA
Enumeration date
06/17/2005
Last updated
09/23/2013
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