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Organization

FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC

Active
Other names
Primary Care Specialists, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES EDWARD NEWBY II M.D. (PRESIDENT)
(757) 627-6892
Entity
Organization

Contact information

Practice address
930 MAJESTIC AVE, SUITE 220, NORFOLK, VA 23504-4055
(757) 627-6892
(757) 627-5809
Mailing address
930 MAJESTIC AVE, SUITE 220, NORFOLK, VA 23504-4055
(757) 627-6892
(757) 627-5809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VAA103551
GROUP PTAN
Enumeration date
11/18/2006
Last updated
01/05/2011
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