Individual
DR. SUSAN E MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101034338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
15893
SENTARA
VA
01
—
300107385
RR MEDICARE
VA
05
—
7232047
—
VA
05
—
890563H
—
NC
Enumeration date
12/01/2005
Last updated
02/07/2014
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