Organization
MAWUSSI KOMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KELLEY (ADMINISTRATOR)
(757) 596-2762
Entity
Organization
Contact information
Practice address
6271 DREW DR, VA BEACH, VA 23464
(757) 214-3333
Mailing address
6271 DREW DR, VA BEACH, VA 23464
(757) 214-3333
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0024173467
VA
Other
Enumeration date
05/05/2016
Last updated
05/25/2016
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