Western Tidewater Community Services Board

Specialty details in registry · Suffolk, VA

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At a glance

437 Jackson St, Suffolk, VA 23434-5314

NPPES record updated Feb 28, 2023. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

437 Jackson St
Suffolk, VA 23434-5314
Professional details: NPI, taxonomy & registry record
NPI1275574402
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
315P00000X
Enumeration date
Jun 9, 2006
Record updated
Feb 28, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

315P00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

437 Jackson St
Suffolk, VA 23434-5314
Phone
(757) 255-7127
Mailing address
7025 HARBOUR VIEW BLVD STE 119

SUFFOLK, VA 234352762
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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