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1518990100
PRIMEDOC OF PORTSMOUTH, PC
PORTSMOUTH, VA
NPI
1518990100
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Entity Type
Organization
Authorized Contact
ROBERT J REYNOLDS
President
828-210-3260
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA N/A)
Enumeration Date
2006-07-08
Last Update Date
2020-08-22
Business Address
PRIMEDOC OF PORTSMOUTH, PC
3636 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 843-237-3378
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Mailing Address
PRIMEDOC OF PORTSMOUTH, PC
PO BOX 601824
CHARLOTTE, NC 28260-1824
Phone number: 843-237-3378
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