Provider First Line Business Practice Location Address:
3640 HIGH STREET, SUITE 2F PORTSMOUTH FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-397-6344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2019