Individual
DR. SAUNORA VANN PROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 VOLVO PKWY STE 100, CHESAPEAKE, VA 23320-3341
(757) 410-3231
(757) 410-3219
Mailing address
860 OMNI BLVD STE 128, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102202325
VA
207Q00000X
Family Medicine Physician
0116018672
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102202325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619179363
—
VA
Enumeration date
06/04/2007
Last updated
03/29/2023
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