# CHESAPEAKE BAY PAIN MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285686295
- **Authorized official:** DR. MICHAEL EDWARD GAUTHIER M.D. (PRESIDENT)
- **Authorized official phone:** (757) 464-2006

## Contact information

- **Practice address:** 329 EDWIN DR, SUITE 100, VIRGINIA BEACH, VA 23462-4522
- **Practice address phone:** (757) 464-2006
- **Practice address fax:** (757) 464-2226
- **Mailing address:** PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
- **Mailing address phone:** (757) 340-3489
- **Mailing address fax:** (757) 340-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/27/2021