Organization
WILLIAMSBURG NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN M. BRAINARD MBA (MEDICAL PRACTICE ADMINISTRATOR)
(757) 345-3907
Entity
Organization
Contact information
Practice address
120 KINGS WAY, SUITE 2700, WILLIAMSBURG, VA 23185-2505
(757) 221-0110
(757) 221-0851
Mailing address
120 KINGS WAY, SUITE 2700, WILLIAMSBURG, VA 23185-2505
(757) 221-0110
(757) 221-0851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101048000
VA
174400000X
Specialist
Primary
0101052740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270420
ANTHEM GROUP NUMBER
VA
01
—
270421
SOUEIDAN-ANTHEM BCBS
VA
01
—
322877
HARDING-ANTHEM BCBS
VA
01
—
45061
SOUEIDAN-SENTARA PROVIDER
VA
01
—
54560
HARDING-SENTARA PROVIDERU
VA
05
—
6104215
—
VA
05
—
6154085
—
VA
01
—
84282
HARDING-SOUTHERN HEALTH
VA
01
—
95834
SOUEIDAN-SOUTHERN HEALTH
VA
Enumeration date
07/06/2005
Last updated
03/07/2023
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