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Organization

TRINITY INTERNAL MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBY M TUCKER MD (OWNER)
(757) 769-7583
Entity
Organization

Contact information

Practice address
4876 PRINCESS ANNE RD, SUITE 119, VIRGINIA BEACH, VA 23462-4447
(757) 769-7583
Mailing address
4876 PRINCESS ANNE RD, SUITE 119, VIRGINIA BEACH, VA 23462-4447
(757) 769-7583

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/17/2009
Last updated
06/23/2011
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