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Organization

JAMES RIVER FAMILY PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES HALVERSON DO (OWNER)
(757) 599-5588
Entity
Organization

Contact information

Practice address
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893
Mailing address
11835 FISHING POINT DR STE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14078914833
ANTHEM BLUE CROSS AND BLUE SHIELD
VA
05
14078914833
VA
01
1508086257
ANTHEM BLUE CROSS AND BLUE SHIELD
VA
05
1508086257
VA
01
1659301430
ANTHEM BLUE CROSS AND BLUE SHIELD
05
1659301430
VA
01
1902899016
ANTHEM BLUE CROSS AN BLUE SHIELD
VA
05
1902899016
VA
Enumeration date
03/24/2009
Last updated
04/03/2026
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