Organization
EXPRESS MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE MICHAEL MCDERMOTT MD (PRESIDENT)
(757) 471-7700
Entity
Organization
Contact information
Practice address
1543 AMBERLEY FOREST ROAD, VIRGINIA BEACH, VA 23453
(757) 471-7700
(757) 471-9541
Mailing address
1543 AMBERLEY FOREST ROAD, VIRGINIA BEACH, VA 23453
(757) 471-7700
(757) 471-9541
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070018
ANTHEM
VA
01
—
47148
SENTARA
VA
01
—
822669
OPTIMUM CHOICE
VA
Enumeration date
03/21/2006
Last updated
11/09/2007
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