Beautiful Nation

Specialty details in registry · Portsmouth, VA

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At a glance

3011 Victory Blvd, Portsmouth, VA 23702-1827

NPPES record updated Nov 26, 2013. Public records can lag behind changes at a practice.

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Practice location

3011 Victory Blvd
Portsmouth, VA 23702-1827

Professional details: NPI, taxonomy & registry record

NPI1730519893

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 335E00000X
Enumeration date: Nov 26, 2013
Record updated: Nov 26, 2013

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

335E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3011 Victory Blvd
Portsmouth, VA 23702-1827

Phone: (757) 967-7066

Mailing address

3011 VICTORY BLVD

PORTSMOUTH, VA 237021827

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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