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Individual

DR. DRINA ANNE NORTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11747 JEFFERSON AVE STE 1B, NEWPORT NEWS, VA 23606-4401
(757) 592-9600
Mailing address
11747 JEFFERSON AVE STE 1B, NEWPORT NEWS, VA 23606-4401
(757) 592-9600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101250091
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101250091
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101250091
VIRGINIA LICENSE
VA
Enumeration date
07/30/2007
Last updated
09/10/2021
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