Individual
DR. VENISSE A GEORGALAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
702 A MIDDLE GROUND BLVD, NEWPORT NEWS, VA 23606-4525
(757) 591-9390
(757) 873-3861
Mailing address
702 MIDDLE GROUND BLVD, NEWPORT NEWS, VA 23606-4525
(757) 591-9390
(757) 873-3861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000321
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U51263
MEDICARE UPIN
VA
Enumeration date
06/08/2006
Last updated
07/08/2007
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