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Individual

PETE-GAYE V. NATION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
721 FAIRFAX AVE FL 3, EVMS PMR DEPARTMNET, NORFOLK, VA 23507-2007
(757) 446-5915
(757) 446-5089
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5915
(757) 446-5089

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101247493
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-017
TRICARE/CHAMPUS
VA
01
10064688
OPTIMA HEALTH
VA
05
1316102577
VA
01
409486
ANTHEM BC/BS
VA
05
5915479
NC
01
PAR
VIRGINIA PREMIER HEALTH PLAN
VA
Enumeration date
07/26/2008
Last updated
02/10/2011
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