Individual
MR. EDWARD ELLISON WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1037 CHAMPIONS WAY, SUITE 300, SUFFOLK, VA 23435-3764
(757) 335-7165
(757) 335-7167
Mailing address
1037 CHAMPIONS WAY, SUITE 300, SUFFOLK, VA 23435-3764
(757) 335-7165
(757) 335-7167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101240033
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101240033
VA
Other
Enumeration date
06/26/2006
Last updated
02/20/2023
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