Organization
OLDE TOWNE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BUTLER (BILLING MANAGER)
(757) 638-0085
Entity
Organization
Contact information
Practice address
640 NORTH ST, PORTSMOUTH, VA 23704-2415
(757) 397-1246
(757) 397-0089
Mailing address
640 NORTH ST, PORTSMOUTH, VA 23704-2415
(757) 397-1246
(757) 397-0089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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