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Individual

RUTH HELEN INNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6877
(757) 947-3232
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101235103
VA
208M00000X
Hospitalist Physician
Primary
0101235103
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010007470
VA
01
466010
ANTHEM
VA
01
P00050660
RAILROAD MEDICARE
Enumeration date
07/14/2005
Last updated
08/20/2024
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