Organization
FAMILY PRACTICE OF HAMPTON ROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI PECK O'CONNELL (OFFICE MANAGER)
(757) 825-4273
Entity
Organization
Contact information
Practice address
2117 HARTFORD RD, HAMPTON, VA 23666-2408
(757) 825-4273
(757) 825-4276
Mailing address
2117 HARTFORD RD, HAMPTON, VA 23666-2408
(757) 825-4273
(757) 825-4276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
03/24/2008
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