Individual
GRANVILLE B WORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 466-6700
Mailing address
134 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6523
(757) 473-0055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5709253
—
VA
05
—
5737711
—
VA
Enumeration date
07/18/2006
Last updated
11/29/2007
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