Organization
SENTARA MEDICAL GROUP
Active
Other names
Urology of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
ARRIE P HINES (CREDENTIALING MANAGER)
(757) 252-3339
Entity
Organization
Contact information
Practice address
800 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6005
(757) 983-1200
(757) 983-1201
Mailing address
800 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6005
(757) 983-1200
(757) 983-1201
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
08/14/2009
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