Individual
MEGHAN MARY THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SENTARA CIR STE 105, WILLIAMSBURG, VA 23188-5754
(757) 253-5653
(757) 378-2776
Mailing address
6353 CENTER DR STE 100, NORFOLK, VA 23502-4100
(561) 486-8439
(561) 486-8439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003593
VA
363AM0700X
Medical Physician Assistant
0110003593
VA
Other
Enumeration date
06/16/2011
Last updated
07/07/2022
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