Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA JOY VENTERS DC (DR VENTERS OWNER)
(757) 499-4432
Entity
Organization
Contact information
Practice address
256 N WITCHDUCK RD, SUITE C, VIRGINIA BEACH, VA 23462-6544
(757) 499-4432
(757) 518-8831
Mailing address
256 N WITHCDUCK RD, SUITE C, VA BEACH, VA 23462
(757) 499-4432
(757) 518-8831
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0104001848
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115998
ANTHEM
VA
01
—
460166
ASHN
VA
Enumeration date
12/05/2006
Last updated
08/22/2020
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