Olde Towne Family Practice
NPI #1184861973 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1184861973
- Entity Type
- Organization
- Organization Name
- Olde Towne Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 15, 2009
- Last Updated
- Jan 15, 2009
Practice Location
- Address
- 640 NORTH ST
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2415
- Phone
- (757) 397-1246
Authorized Official
- Name
- PATRICIA BUTLER
- Title
- BILLING MANAGER
- Phone
- (757) 638-0085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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