Organization
VIRGINIA DERMATOLOGY SKIN CANCER CENTER SUFFOLK
Active
Other names
virginia dermatology and skin cancer center suffolk
Organization subpart
No
Provider details
NPI number
Authorized official
AMANI N JONES (BILLING COORDINATOR)
(757) 455-5009
Entity
Organization
Contact information
Practice address
1005 COMMERCIAL LN, SUITE 230, SUFFOLK, VA 23434-8149
(757) 925-1890
Mailing address
1005 COMMERCIAL LN, SUITE 230, SUFFOLK, VA 23434-8149
(757) 925-1890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
12/12/2011
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