Individual
MS. MICHAELA-SUE NICKOLE HADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9400
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 905-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008025
VA
Other
Enumeration date
11/24/2020
Last updated
08/03/2021
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