| 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 |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-05-21 |