| Olde Towne Family Practice | |
|
640 North St Portsmouth VA 23704-2415 | |
| (757) 397-1246 | |
| (757) 397-0089 |
| Full Name | Olde Towne Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 640 North St, Portsmouth, Virginia |
| Authorized Official Name and Position | Patricia Butler (BILLING MANAGER) |
| Authorized Official Contact | 7576380085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olde Towne Family Practice 640 North St Portsmouth VA 23704-2415 Ph: (757) 397-1246 | Olde Towne Family Practice 640 North St Portsmouth VA 23704-2415 Ph: (757) 397-1246 |
| NPI Number | 1184861973 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184861973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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