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Organization

COMPLETE HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY D TAYLOR RN (MEMBER/MANAGER)
(757) 596-6369
Entity
Organization

Contact information

Practice address
12420 WARWICK BLVD, SUITE 5B, NEWPORT NEWS, VA 23606-3001
(757) 596-6369
(757) 595-8167
Mailing address
12420 WARWICK BLVD, SUITE 5B, NEWPORT NEWS, VA 23606-3001
(757) 596-6369
(757) 595-8167

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101043463
VA
207Q00000X
Family Medicine Physician
Primary
0101043463
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629220819
NPI NUMBER
VA
Enumeration date
10/21/2008
Last updated
01/13/2009
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