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Organization
BEACH SURGICAL ASSISTANTS OF VA, LLC
Active
Organization
BEACH SURGICAL ASSISTANTS OF VA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH REDMOND CSA (SURGICAL ASSISTANT, OWNER)
(757) 343-4735
Entity
Organization
Contact information
Practice address
2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
(757) 343-4735
Mailing address
2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
(757) 343-4735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
11/11/2020
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