Organization
SOUTHEASTERN SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE WILLIAM ENDERSON III M.D. (PRESIDENT)
(757) 422-2212
Entity
Organization
Contact information
Practice address
840 FIRST COLONIAL RD, SUITE 102, VIRGINIA BEACH, VA 23451-6106
(757) 422-2212
(757) 422-9177
Mailing address
840 FIRST COLONIAL RD, SUITE 102, VIRGINIA BEACH, VA 23451-6106
(757) 422-2212
(757) 422-9177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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