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Individual

DR. ROBERT EVERETT FEELY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
704 THIMBLE SHOALS BLVD, SUITE 600 A, NEWPORT NEWS, VA 23606
(757) 595-5001
(757) 595-5077
Mailing address
704 THIMBLE SHOALS BLVD, SUITE 600 A, NEWPORT NEWS, VA 23606
(757) 595-5001
(757) 595-5077

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21513
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036501
BLUE CROSS
01
080111792
RAILROAD MEDICARE
05
5640211
VA
Enumeration date
08/22/2006
Last updated
01/15/2008
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