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HARVEY SHELDON ST. CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
171 KEMPSVILLE RD, BUILDING A, NORFOLK, VA 23502-4700
(757) 668-6550
(757) 668-6544
Mailing address
PO BOX 741593, ATLANTA, GA 30374-1593
(757) 668-8544
(757) 668-6544

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101036643
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006406971
VIRIGNIA PREMIER
VA
05
006406971
VA
01
023095C41
MEDICARE
VA
01
09-00056
UHC
VA
01
1023023793
TRICARE
VA
01
15157
OPTIMA/SENTARA HEALTH
VA
01
253795
ANTHEM BCBS
VA
01
2559256006
CIGNA
VA
01
4004870
AETNA
VA
01
54956
MAMSI/OPTIMUM CHOICE
VA
01
615713
NC PPO
NC
01
690543C
NORTH CAROLINA MEDICAID
VA
Enumeration date
07/30/2006
Last updated
01/11/2013
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