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NPI Code Detail

MEDICARE: CITY OF NORFOLK

MEDICARE: CITY OF NORFOLK
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
12084P0800XPsychiatry Physician24107004VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710281803
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF NORFOLK
Provider Business Mailing Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. NATHAN WOODARD
Credential : PHD
Telephone Number : 757-756-5600
Provider Enumeration Date : 01/04/2011
Last Update Date : 02/11/2025

Similar Medicare Providers

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Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
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Practice Fax:
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1124198858 — MRS. AMY HELENE DAGEN LCSW
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1326280652 — CITY OF NORFOLK
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
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Practice Fax:
1154851319 — MELANIE ANN SIMS
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
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Practice Fax:
1043726045 — MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:

Directions to “CITY OF NORFOLK ” Practice Location

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