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Individual

BENEDICT NGWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4868 BRIDGE RD, SUFFOLK, VA 23435-2048
(757) 483-7100
(757) 483-7150
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172552
VA

Other

Enumeration date
04/29/2015
Last updated
07/02/2019
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