| Regenpro Wound Specialty Group - Hampton Roads, Llc | |
|
2809 Emerywood Pkwy Ste 330-e Henrico VA 23294-3730 | |
| (434) 264-1233 | |
| (434) 264-1233 |
| Full Name | Regenpro Wound Specialty Group - Hampton Roads, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2809 Emerywood Pkwy Ste 330-e, Henrico, Virginia |
| Authorized Official Name and Position | Keziah Mariae Del Rosario (OWNER) |
| Authorized Official Contact | 7573940652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenpro Wound Specialty Group - Hampton Roads, Llc 3220 High St Portsmouth VA 23707-3318 Ph: (434) 264-1233 | Regenpro Wound Specialty Group - Hampton Roads, Llc 2809 Emerywood Pkwy Ste 330-e Henrico VA 23294-3730 Ph: (434) 264-1233 |
| NPI Number | 1245055482 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 11/21/2024 |
| Medicare PECOS PAC ID | 4587193867 |
|---|---|
| Medicare Enrollment ID | O20250131000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245055482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip P Valmores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063773778 PECOS PAC ID: 7618295239 Enrollment ID: I20150817000055 |
| Provider Name | Nancy Lim Alalong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316767726 PECOS PAC ID: 0143759548 Enrollment ID: I20250130001368 |
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