Individual
DR. DANIELLE JACQUELYN CULBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5839 HARBOUR VIEW BLVD STE 200, SUFFOLK, VA 23435-3315
(757) 483-6100
(757) 483-2203
Mailing address
5839 HARBOUR VIEW BLVD STE 200, SUFFOLK, VA 23435-3315
(757) 483-6100
(757) 483-2203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101244836
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10101124
OPTIMA
VA
05
—
1508074220
—
VA
01
—
4143404
CIGNA
VA
01
—
479689
ANTHEM
VA
01
—
9238941
AETNA
VA
01
—
VV7840A
MEDICARE
VA
Enumeration date
05/18/2007
Last updated
12/05/2019
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