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VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC NPI 1396774667


NPI Information

NPI: 1396774667
Provider Name: VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
9724 BAY POINT DR
NORFOLK, VA
ZIP 23518
Phone: (757) 404-7725
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VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC is a medical specialty clinic center in Norfolk, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC NPI is 1396774667. The provider is registered as an organization entity type.

The provider's business location address is:

9724 BAY POINT DR
NORFOLK, VA
ZIP 23518-013
Phone: (757) 404-7725
Fax: (757) 362-3577

The provider's authorized official is Brian L. Johnson .
The authorized official title is President and has the following contact phone number (757) 455-5009.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty0101042937VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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