Organization
WILLIAMSBURG EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY ZYDRON MD (AO)
(757) 719-9003
Entity
Organization
Contact information
Practice address
100 SENTARA CIR, WILLIAMSBURG, VA 23188-5713
(757) 221-0055
Mailing address
PO BOX 2915, WILLIAMSBURG, VA 23187-2915
(757) 221-0055
(757) 221-8085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8290
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
04/03/2020
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