Individual
ANTHONY DAN MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1069 GEORGE WASHINGTON HWY N STE D, CHESAPEAKE, VA 23323-3559
(757) 546-4734
Mailing address
1069 GEORGE WASHINGTON HWY N STE D, CHESAPEAKE, VA 23323-3559
(757) 966-2041
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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