Individual
VICKY LYNN GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6251 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 23502-2800
(757) 261-5000
Mailing address
6251 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 23502-2800
(757) 261-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008811
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/03/2022
Last updated
03/31/2025
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