DRS LEDDY AND WILSON PC NPI 1427255702

NPI Information

NPI: 1427255702
Provider Name: DRS LEDDY AND WILSON PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
704 THIMBLE SHOALS BLVD
BLDG 300A
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 595-4300
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DRS LEDDY AND WILSON PC is a multi-specialty clinic center in Newport News, VA. DRS LEDDY AND WILSON PC NPI is 1427255702. The provider is registered as an organization entity type.

The provider's business location address is:

704 THIMBLE SHOALS BLVD
BLDG 300A
NEWPORT NEWS, VA
ZIP 23606-544
Phone: (757) 595-4300
Fax: (757) 591-9297

The provider's authorized official is Herbert Alexander Wilson .
The authorized official title is President and has the following contact phone number (757) 595-4300.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C04372	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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