Organization
BEACH SURGICAL ASSISTANTS OF VA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH REDMOND CSA (SURGICAL ASSISTANT, OWNER)
(757) 343-4735
Entity
Organization
Contact information
Practice address
2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
(757) 343-4735
Mailing address
2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
(757) 343-4735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
11/11/2020
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