Individual
JULIA BROWN TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12350 JEFFERSON AVE, SUITE 190, NEWPORT NEWS, VA 23602-6951
(757) 881-9444
(757) 881-9004
Mailing address
12350 JEFFERSON AVE, SUITE 190, NEWPORT NEWS, VA 23602-6951
(757) 881-9444
(757) 881-9004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101230611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010371104
—
VA
01
—
248818
VA BC/BS
VA
01
—
264876000
MAGELLAN
VA
01
—
378339
VALUEOPTIONS
VA
01
—
84648
SENTARA MENTAL HEALH
VA
Enumeration date
08/17/2006
Last updated
06/30/2008
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