Organization
ATLANTIC NEUROSURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASROLLAH FATEHI M.D. (PRESIDENT)
(757) 460-0455
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 210, VIRGINIA BEACH, VA 23455-5500
(757) 460-0455
(757) 460-6026
Mailing address
1020 INDEPENDENCE BLVD, SUITE 210, VIRGINIA BEACH, VA 23455-5500
(757) 460-0455
(757) 460-6026
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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