Individual
CECELIA M SCOTECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5818 HARBOUR VIEW BLVD, SUITE 230, SUFFOLK, VA 23435-3315
(757) 686-1042
(757) 686-1055
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93771P
OPTIMA
VA
Enumeration date
06/27/2005
Last updated
10/27/2011
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