# EASTERN VIRGINIA MEDICAL SCHOOL

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

## Provider details

- **NPI number:** 1578940268
- **Authorized official:** DR. LESTER JOHNSON MD/PHD (DIRECTOR, RADIOLOGY RESIDENCY PROGR)
- **Authorized official phone:** (757) 446-5600

## Contact information

- **Practice address:** 714 WOODIS AVE, NORFOLK, VA 23510-1026
- **Practice address phone:** (757) 446-5600
- **Mailing address:** PO BOX 1980, NORFOLK, VA 23501-1980
- **Mailing address phone:** (757) 446-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | VA0101257244 | VA | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015