Organization
GERIATRIC OPTIONS LLC
Active
Other names
Geriatric Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERVONNE BANKS MSG (GERONTOLOGIST)
(757) 240-7928
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQUARE STE 334, HAMPTON, VA 23669-2290
(757) 240-7928
Mailing address
4410 CLAIBORNE SQUARE STE 334, HAMPTON, VA 23669-2290
(757) 240-7928
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
112160
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033398003
—
VA
Enumeration date
02/14/2008
Last updated
08/15/2014
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