Individual
JENNIFER M WOHL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 KINGSLEY LANE, STE 309, GRANBY INTERNAL MEDICINE PC, NORFOLK, VA 23505
(757) 889-2006
(757) 889-6559
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840739
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156629
—
VA
Enumeration date
04/08/2006
Last updated
03/01/2016
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