Organization
CHURCHLAND FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK C CRUM M.D. (PRESIDENT)
(757) 484-7386
Entity
Organization
Contact information
Practice address
3235 ACADEMY AVE, SUITE 102, PORTSMOUTH, VA 23703-3200
(757) 484-7386
(757) 484-1913
Mailing address
3235 ACADEMY AVE, SUITE 102, PORTSMOUTH, VA 23703-3200
(757) 484-7386
(757) 484-1913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038607
VA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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