Organization
FAMILY MEDICAL PRACTITIONERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ M VAMBELL (ACCT MAN)
(757) 460-1207
Entity
Organization
Contact information
Practice address
1147 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2136
Mailing address
1147 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03179
GROUP NUMBER
VA
Enumeration date
07/26/2005
Last updated
07/21/2022
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