PROFESSIONAL PLACE MEDICAL GROUP LLC NPI 1114937372

NPI Information

PROFESSIONAL PLACE MEDICAL GROUP, LLC is a general practice in Chesapeake, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PROFESSIONAL PLACE MEDICAL GROUP, LLC NPI is 1114937372. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is East Coast Clinical Research, Llc.

The provider's business location address is:

932 PROFESSIONAL PL
#201
CHESAPEAKE, VA
ZIP 23320-631
Phone: (757) 481-9406
Fax: (757) 389-5889

The provider's authorized official is Richard Craven .
The authorized official title is Member/owner and has the following contact phone number (757) 481-9406.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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