Organization
PRINCESS ANNE AMBULATORY SURGERY MANAGEMENT LLC
Active
Other names
Princess Anne Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN PORTER (SECRETARY)
(757) 455-7766
Entity
Organization
Contact information
Practice address
1975 GLENN MITCHELL DR, SUITE 300, VIRGINIA BEACH, VA 23456-0167
(757) 507-0170
(757) 507-0171
Mailing address
1975 GLENN MITCHELL DR, SUITE 300, VIRGINIA BEACH, VA 23456-0167
(757) 507-0170
(757) 507-0171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
11/30/2007
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