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Organization

UROLOGY OF VIRGINIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER U MILES-THOMAS M.D. (PRESIDENT)
(757) 452-3417
Entity
Organization

Contact information

Practice address
229 CLEARFIELD AVE STE 300, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A180
GROUP MEDICARE PTAN
VA
Enumeration date
10/02/2015
Last updated
02/01/2022
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