Organization
GREEN RUN FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY SUN MD (PRESIDENT)
(757) 427-9194
Entity
Organization
Contact information
Practice address
3396 HOLLAND ROAD, #105, VIRGINIA BEACH, VA 23452
(757) 427-9194
Mailing address
3396 HOLLAND ROAD, #105, VIRGINIA BEACH, VA 23452
(757) 427-9194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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