Organization
PATIENT FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WOOD RN (DMS)
(757) 424-2490
Entity
Organization
Contact information
Practice address
5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5365
(757) 424-2490
(757) 523-0508
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0213000749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835255
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
NA
—
VA
Enumeration date
01/08/2007
Last updated
08/22/2020
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