MEDICARE: TRININTY MEDICAL CARE, PC

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	207Q00000X	Family Medicine Physician	0101054067	VA

General Provider Information

NPI Number	:	1548341548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRININTY MEDICAL CARE, PC

Provider Business Mailing Address
First Line	:	2364 UPPER GREENS PL
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-3587
Country	:	US
Telephone Number	:	757-563-9291
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 FIRST COLONIAL RD STE 103
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3070
Country	:	US
Telephone Number	:	757-962-6262
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LINDA JOAN GEORGE
Credential	:	MD
Telephone Number	:	757-563-9291

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/22/2020

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