Organization
CHESAPEAKE HOSPITALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. FULP M.D. (PRESIDENT)
(757) 312-6585
Entity
Organization
Contact information
Practice address
736 N. BATTLEFIELD BLVD, CHESAPEAKE, VA 23320-4941
(757) 312-6585
Mailing address
P.O. BOX 16180, CHESAPEAKE, VA 23328-6180
(757) 312-6585
(757) 222-1708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101056073
VA
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005857643
—
VA
01
—
139607
ANTHEM
VA
01
—
CH8520
RAILROAD MEDICARE
VA
Enumeration date
09/20/2006
Last updated
11/19/2010
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