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Organization

WOMENS IMAGING CENTER OF PORTSMOUTH LLC

Active
Other names
BREAST CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JACK WELSBY (MBR)
(757) 396-6348
Entity
Organization

Contact information

Practice address
355 CRAWFORD ST, SUITE 102, PORTSMOUTH, VA 23704-2816
(757) 397-3400
Mailing address
355 CRAWFORD ST, SUITE 102, PORTSMOUTH, VA 23704-2816
(757) 397-3400

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
01/04/2016
Last updated
01/04/2016
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