Organization
COASTAL HAIR RESTORATION, INC
Active
Other names
Coastal Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN BARRON CHESHIRE M.D. (OWNER)
(757) 486-0067
Entity
Organization
Contact information
Practice address
3082 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 486-0067
(757) 486-0061
Mailing address
3082 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 486-0067
(757) 486-0061
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101229833
VA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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