Organization
THE CENTER FOR RENAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C GRETES M.D. (PRESIDENT)
(757) 873-1009
Entity
Organization
Contact information
Practice address
739 THIMBLE SHOALS BLVD, SUITE 801, NEWPORT NEWS, VA 23606-3562
(757) 873-1009
(757) 873-7689
Mailing address
739 THIMBLE SHOALS BLVD, SUITE 801, NEWPORT NEWS, VA 23606-3562
(757) 873-1009
(757) 873-7689
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382729
ANTHEM BLUE CROSS OF VA
VA
01
—
CF9221
RAILROAD MEDICARE
GA
Enumeration date
07/12/2006
Last updated
08/22/2020
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