PHYSIATRY-SPORTS & FAMILY MEDICINE LLC NPI 1770980757

NPI Information

NPI: 1770980757
Provider Name: PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2147 OLD GREENBRIER RD
SUITE B
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 366-0200
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PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC is a multi-specialty clinic center in Chesapeake, VA. PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC NPI is 1770980757. The provider is registered as an organization entity type.

The provider's business location address is:

2147 OLD GREENBRIER RD
SUITE B
CHESAPEAKE, VA
ZIP 23320-635
Phone: (757) 366-0200

The provider's authorized official is Travis Lee .
The authorized official title is President and has the following contact phone number (757) 366-0200.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 10/16/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	0101241301	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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