NPI 1114175304

Sentara Medical Group

Organisation Urology Physician Suffolk, VA

Practice location

Address: 2000 Meade Pkwy, Suffolk, VA 23434-4259
Phone: (757) 934-9300

Authorised official

Name: Arrie P Hines
Title: Credentialing Manager
Phone: (757) 252-3292

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1114175304
Entity type: Organization
NPI issued: 3 Sep 2008
Record last updated: 19 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.