Organization
CHESAPEAKE BAY ENT PC
Active
Other names
COASTAL PLAIN ENT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DETRA RENEE SAFFOLD (REGIONAL PRACTICE ADMINISTRATOR)
(757) 442-7040
Entity
Organization
Contact information
Practice address
36080 LANKFORD HWY, BELLE HAVEN, VA 23306-0000
(757) 442-7040
(757) 442-7080
Mailing address
1270 DIAMOND SPRINGS RD, SUITE 118, #712, VIRGINIA BEACH, VA 23455-3729
(757) 442-7040
(757) 442-7080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006502903
—
VA
05
—
4102118 00
—
MD
Enumeration date
10/22/2007
Last updated
01/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us