Organization
PATRICIA L RAYMOND, M.D., PLLC
Active
Other names
Simply Screening
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA L RAYMOND M.D. (PHYSICIAN)
(757) 523-9755
Entity
Organization
Contact information
Practice address
680 KINGSBOROUGH SQ, SUITE D, CHESAPEAKE, VA 23320-4988
(757) 523-9755
(757) 523-8600
Mailing address
680 KINGSBOROUGH SQ, SUITE D, CHESAPEAKE, VA 23320-4988
(757) 464-1644
(757) 363-1071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101045459
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010050715
—
VA
01
—
105928
ANTHEM
VA
01
—
15938
OPTIMA
VA
01
—
3575971
CIGNA
VA
01
—
515366
MAMSI/OPTIMUM CHOICE/MDIPA
VA
Enumeration date
03/11/2008
Last updated
06/21/2018
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