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Individual

VERNIS L. BEVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3800 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5522
(757) 484-2001
(757) 484-2182
Mailing address
3800 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5522
(757) 484-2001
(757) 484-2182

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101224920
VA
208000000X
Pediatrics Physician
0101224920
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010003202
VA
05
010060133
VA
05
010060169
VA
01
C09064
MEDICARE GROUP NUMBER
Enumeration date
04/18/2006
Last updated
02/11/2021
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