Individual
DR. ROY MASON PENNINGTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 FORRESTAL DR BLDG 33, NORFOLK, VA 23551-0001
(757) 953-3647
Mailing address
100 WHITE STREET, JACKSONVILLE, NC 28540
(910) 449-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101263036
VA
Other
Enumeration date
04/01/2016
Last updated
12/01/2021
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