Provider First Line Business Practice Location Address:
PARK PLACE FAMILY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
155 KINGSLEY LANE, SUITE 320
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
577-393-6363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2023