Individual
VERA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 103, VIRGINIA BEACH, VA 23455-5500
(757) 363-1000
(757) 460-3708
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010077010
—
VA
01
—
153414
ANTHEM
VA
01
—
541595397
TRICARE
VA
01
—
7427594
AETNA
VA
Enumeration date
02/10/2006
Last updated
04/12/2010
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