| NPI | 1053017475 |
|---|---|
| Doing Business As | PRIMECARE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | TAYLOR LAWRENCE Billing Manager 757-372-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-04-24 |