Individual
MARGARET KELLY EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, EVMS PEDIATRIC EMERGENCY MEDICINE, NORFOLK, VA 23507-1910
(757) 668-7272
(757) 668-9766
Mailing address
601 CHILDRENS LN, EVMS PEDIATRIC EMERGENCY MEDICINE, NORFOLK, VA 23507-1910
(757) 668-7272
(757) 668-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101255773
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0101255773
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVH845A
MEDICARE PECOS
VA
Enumeration date
04/05/2011
Last updated
10/11/2019
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