Coastal Virginia Spine and Pain Center LLC
NPI #1114496734 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1114496734
- Entity Type
- Organization
- Organization Name
- Coastal Virginia Spine and Pain Center LLC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Nov 14, 2018
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 4525 SOUTH BLVD STE 200
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23452-1147
- Phone
- (757) 227-3820
Authorized Official
- Name
- AMANDA WARD
- Title
- CREDENTIALING MANAGER
- Phone
- (757) 340-3489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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