Individual
SARAH E BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5335 DISCOVERY PARK BLVD STE B, WILLIAMSBURG, VA 23188-2696
(757) 253-0603
(757) 585-7645
Mailing address
730 THIMBLE SHOALS BLVD, STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
(757) 873-3239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110002183
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006638P
SENTARA HEALTH PLANS
VA
05
—
1730158346
—
VA
Enumeration date
03/16/2006
Last updated
04/15/2021
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