Individual
DR. JANICE COSTILOW SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
933 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454-3172
(757) 491-7359
(757) 491-9359
Mailing address
933 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454-3172
(757) 491-7359
(757) 491-9359
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
101051225
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006079695
VIRGINIA PREMIER
VA
05
—
006079695
—
VA
01
—
12612
OPTIMA/SENTARA
VA
01
—
320786
ANTHEM HEALTHKEEPERS
VA
01
—
338538
UHC/MAMSI/OPC/MDIPA
VA
01
—
890649P
NC MEDICAID
NC
Enumeration date
10/11/2005
Last updated
07/23/2021
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