Organization
UROLOGY OF VIRGINIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER U MILES-THOMAS MD (PRESIDENT)
(757) 452-3417
Entity
Organization
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A180
MEDICARE PTAN
VA
Enumeration date
04/08/2011
Last updated
02/01/2022
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