OrganizationActive
Coastal Regenex Ltd
NPI 1639705387 · Multi-Specialty Clinic/Center · Chesapeake, VA
Provider details
- NPI number
- 1639705387
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trey Williams, Owner(757) 297-6750
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1013 Eden Way N Ste B
Chesapeake, VA 23320-2792
Phone: (757) 297-6750
Fax: (757) 609-3473
Approximate (ZIP-level) locationGet directions
Mailing address
182 Odd Rd
Poquoson, VA 23662-2035
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.