Chesapeake Bay Ent
NPI #1366834749 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1366834749
- Entity Type
- Organization
- Organization Name
- Chesapeake Bay Ent
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 23, 2015
- Last Updated
- Feb 23, 2015
Practice Location
- Address
- 1232 PERIMETER PKWY
- Address 2
- SUITE 104
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-5924
- Phone
- (757) 821-2090
Authorized Official
- Name
- MRS. DETRA RENEE SAFFOLD
- Title
- REGIONAL PRACTICE ADMINISTRATOR
- Phone
- (757) 821-2090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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