SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM

Exclusive Provider Organization

Active Organization
NPI: 1013320712

Practice Address

6350 CENTER DR
SUITE101
Norfolk, VA 23502

Phone: (757) 461-9481

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes 1060267354 (VA)

Frequently Asked Questions

NPI 1013320712 is the National Provider Identifier for SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, a Exclusive Provider Organization provider located in Norfolk, VA. This NPI was enumerated on June 10, 2014.

Quick Facts

NPI
1013320712
Type
Organization
Enumerated
Jun 10, 2014
Last Updated
Jun 10, 2014

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