Individual
FANYA N SEAGULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23456-7755
(757) 963-5500
(757) 275-9907
Mailing address
2301 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23456-7755
(757) 963-5500
(757) 275-9907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101229010
VA
Other
Enumeration date
08/13/2006
Last updated
01/06/2012
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