Peninsula Regional Medical Center
NPI #1003058629 in Chincoteague, Virginia
Provider Information
- NPI Number
- 1003058629
- Entity Type
- Organization
- Organization Name
- Peninsula Regional Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 27, 2009
- Last Updated
- Apr 30, 2009
Practice Location
- Address
- 6295 TEAL LN
- Address 2
- ISLAND FAMILY MEDICINE
- City
- Chincoteague
- State
- Virginia
- ZIP Code
- 23336-2207
- Phone
- (757) 336-2200
Authorized Official
- Name
- DONNA E HORNER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (410) 543-7531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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