NPI 1114496734

Coastal Virginia Spine and Pain Center LLC

Organisation Interventional Pain Medicine Physician Virginia Beach, VA

Practice location

Address: 4525 South Blvd STE 200, Virginia Beach, VA 23452-1147
Phone: (757) 227-3820
Fax: (757) 226-9021
Mailing address: PO Box 2546, Virginia Beach, VA 23450-2546

Authorised official

Name: Amanda Ward
Title: Credentialing Manager
Phone: (757) 340-3489

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Virginia →

Registry record

NPI: 1114496734
Entity type: Organization
NPI issued: 14 Nov 2018
Record last updated: 27 Oct 2022

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.