Organization
BEACHGATE FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA HERRINK (MEMBER)
(804) 761-7792
Entity
Organization
Contact information
Practice address
700 MCKINNEY BLVD STE 100, COLONIAL BEACH, VA 22443-1933
(804) 224-6322
Mailing address
8546 GRAY FOX LN, KING GEORGE, VA 22485-3572
(804) 761-7792
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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