Organization
SOUTHAMPTON PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITRISH JOUBY SCOTT-BROWN M.D. (PHYSICIAN)
(757) 562-1421
Entity
Organization
Contact information
Practice address
102 FAIRVIEW DR, SUITE F, FRANKLIN, VA 23851
(757) 562-1421
(757) 562-1423
Mailing address
P.O. BOX 26, FRANKLIN, VA 23851
(757) 562-1421
(757) 562-1423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010029261
—
VA
Enumeration date
08/22/2006
Last updated
06/16/2011
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