MEDICARE: PIN MINISTRY

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1629924220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIN MINISTRY

Provider Business Mailing Address
First Line	:	1164 MILLERS LN STE A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5716
Country	:	US
Telephone Number	:	757-962-3567
Fax Number	:	757-961-4938

Provider Business Practice Location Address
First Line	:	1164 MILLERS LN STE A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5716
Country	:	US
Telephone Number	:	757-962-3567
Fax Number	:	757-961-4938

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	TONY GALIARDI
Credential	:
Telephone Number	:	757-362-1229

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “PIN MINISTRY ” Practice Location

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