Healthcare Provider Details

I. General information

NPI: 1952224248
Provider Name (Legal Business Name): MEDALLION HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

IV. Provider business mailing address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

V. Phone/Fax

Practice location:
  • Phone: 757-812-9853
  • Fax:
Mailing address:
  • Phone: 757-812-9853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. ALBANY CAMILLE GARRETT
Title or Position: BUSINESS OWNER
Credential: BSN,RN
Phone: 757-812-9853