| Medivps Group LLC | |
|
2535 Dexter St E Chesapeake VA 23324-3021 | |
| (757) 517-6001 | |
| Not Available |
| Full Name | Medivps Group LLC |
|---|---|
| Speciality | General Practice |
| Location | 2535 Dexter St E, Chesapeake, Virginia |
| Authorized Official Name and Position | Venita Perry (OWNER) |
| Authorized Official Contact | 7575176001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medivps Group LLC 2535 Dexter St E Chesapeake VA 23324-3021 Ph: (757) 517-6001 | Medivps Group LLC 2535 Dexter St E Chesapeake VA 23324-3021 Ph: (757) 517-6001 |
| NPI Number | 1891455481 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891455481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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