Colonial Beach Medical Center

NPI #1831128032 in Colonial Beach, Virginia

Provider Information

NPI Number: 1831128032
Entity Type: Organization
Organization Name: Colonial Beach Medical Center
Primary Specialty: Specialist
Enumeration Date: Jul 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 700 MCKINNEY BLVD
Address 2: STE. 12
City: Colonial Beach
State: Virginia
ZIP Code: 22443-1925
Phone: (804) 224-6322

Authorized Official

Name: MR. KELL R. HOOVLER
Title: PRESIDENT, CEO
Phone: (540) 657-9633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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