Individual
MADELINE CROCKETT HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 446-5600
Mailing address
817 VOLVO PKWY, CHESAPEAKE, VA 23320-2855
(757) 668-4630
(757) 668-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011096
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2025
Last updated
10/21/2025
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