Organization
EVERETT SERVICE PROVIDER MULTI MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R PAIGE (VICE PRESIDENT)
(757) 793-0146
Entity
Organization
Contact information
Practice address
7296 QUAKER DR, SUFFOLK, VA 23437-8903
(757) 235-0463
Mailing address
7296 QUAKER DR, SUFFOLK, VA 23437-8903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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