Organization
DERMATOLOGY INC. OF VIRGINIA BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CHARLES HARR M.D. (PRESIDENT)
(757) 481-4422
Entity
Organization
Contact information
Practice address
1200 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2207
(757) 481-4422
(757) 481-9182
Mailing address
1200 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2207
(757) 481-4422
(757) 481-9182
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1288
ANTHEM BLUE SHIELD GR.#
VA
Enumeration date
05/22/2007
Last updated
03/03/2010
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