Individual
DR. GERALDINE ANN STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 572, NORFOLK, VA 23507-1914
(757) 446-8999
(757) 446-7922
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8999
(757) 446-7922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101040867
VA
207RI0200X
Infectious Disease Physician
Primary
0101040867
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
006097766
—
VA
01
—
0665X
NC BC/BS
NC
01
—
257064
UHC/MAMSI
—
01
—
331478
ANTHEM
—
01
—
54586
SENTARA/OPTIMA
—
05
—
890665X
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
03/03/2006
Last updated
06/08/2016
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