Organization
ADULT AND PEDIATRIC MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUKIA DEWITT BEVERLY CPNP (OFFICE ADMINISTRATOR)
(757) 484-2001
Entity
Organization
Contact information
Practice address
3800 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5522
(757) 484-2001
(757) 484-2182
Mailing address
3800 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5522
(757) 484-2001
(757) 484-2182
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101224920
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060133
—
VA
05
—
010060169
—
VA
Enumeration date
05/15/2007
Last updated
09/09/2011
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