MEDICARE: FIRST HEALTH MEDICAL PRACTICE P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		VA

General Provider Information

NPI Number	:	1124171483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST HEALTH MEDICAL PRACTICE P C

Provider Business Mailing Address
First Line	:	PO BOX 31354
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-1354
Country	:	US
Telephone Number	:	757-416-6750
Fax Number	:	757-416-6830

Provider Business Practice Location Address
First Line	:	1860 COLONIAL MEDICAL CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3035
Country	:	US
Telephone Number	:	757-416-6750
Fax Number	:	757-416-6830

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARBARA L PARKS
Credential	:	M.D.
Telephone Number	:	757-416-6750

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/21/2022

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Directions to “FIRST HEALTH MEDICAL PRACTICE P C ” Practice Location

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