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Individual

DR. NICOLE A PADMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5701 THURSTON AVE, SUITE 103, VIRGINIA BEACH, VA 23455-3330
(757) 340-3489
(757) 340-4278
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-3489
(757) 340-4278

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101058077
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101058077
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005838827
VA
01
110204555
RRMED
VA
Enumeration date
02/10/2006
Last updated
07/11/2013
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