Olde Towne Medical Practice Pllc
NPI #1164268165 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1164268165
- Entity Type
- Organization
- Organization Name
- Olde Towne Medical Practice Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
Practice Location
- Address
- 301 GOODE WAY STE 103
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2266
- Phone
- (757) 399-0701
Authorized Official
- Name
- MRS. LATISHA BYRD
- Title
- OFFICE BILLING CLERK
- Phone
- (757) 399-0701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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