| Atlantic Integrative Medicine Llc | |
|
300 Medical Pkwy Ste 304 Chesapeake VA 23320-4985 | |
| (757) 410-0672 | |
| Not Available |
| Full Name | Atlantic Integrative Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Medical Pkwy Ste 304, Chesapeake, Virginia |
| Authorized Official Name and Position | Jonathan Claar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7574108631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Integrative Medicine Llc 300 Medical Pkwy Ste 304 Chesapeake VA 23320-4985 Ph: () - | Atlantic Integrative Medicine Llc 300 Medical Pkwy Ste 304 Chesapeake VA 23320-4985 Ph: (757) 410-0672 |
| NPI Number | 1104407204 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4981053204 |
|---|---|
| Medicare Enrollment ID | O20231212003786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104407204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306301726 PECOS PAC ID: 9931433224 Enrollment ID: I20190619003454 |
| Provider Name | Arron Achey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891270617 PECOS PAC ID: 8820340912 Enrollment ID: I20210709002843 |
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