Organization
ATLANTIC VEIN & VASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK N SOUTHERN M.D. (MANAGING PARTNER)
(757) 437-2882
Entity
Organization
Contact information
Practice address
5589 GREENWICH RD STE 100, VIRGINIA BEACH, VA 23462
(757) 437-2882
(757) 502-8800
Mailing address
5589 GREENWICH RD STE 100, VIRGINIA BEACH, VA 23462-6565
(757) 437-2882
(757) 502-8808
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
07/09/2018
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