Individual
DR. RAYNIDO CHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 HATTON POINT RD, PORTSMOUTH, VA 23703-4002
(757) 483-0857
Mailing address
4440 HATTON POINT RD, PORTSMOUTH, VA 23703-4002
(757) 483-0857
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101041255
VA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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