Individual
CHRISTINA W PRILLAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACP
Contact information
Practice address
500 SENTARA CIRCLE, WILLIAMSBURG, VA 23188-5727
(757) 229-2236
(757) 221-0409
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101053122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005815363
—
VA
01
—
12542
OPTIMA
VA
01
—
830004889
RAILROAD MEDICARE
VA
Enumeration date
06/20/2005
Last updated
09/22/2014
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