Individual
JACKSON BOLAND SALVANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 WARWICK BLVD, SUITE 410, NEWPORT NEWS, VA 23601-2344
(757) 534-5200
(757) 534-5830
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101050943
VA
Other
Enumeration date
01/24/2006
Last updated
04/10/2014
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