Organization
SHC MEDICAL PARTNERS OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY LOGAN (VP OF OPERATIONS)
(502) 558-2193
Entity
Organization
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
(757) 623-4646
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
VA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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