Organization
HAMPTON ROADS NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE H. HAWKINS (CREDENTIALING COORDINATOR)
(757) 232-8769
Entity
Organization
Contact information
Practice address
704 THIMBLE SHOALS BLVD, SUITE 500-B, NEWPORT NEWS, VA 23606-4544
(757) 599-3436
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101046873
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6048293
—
VA
Enumeration date
03/20/2007
Last updated
02/17/2010
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