Genesis Aesthetic Face and Vein Specialists, PC
Genesis Aesthetic Face and Vein Specialists, PC provides Vascular Surgery Physician services in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1500 Breezeport Way Ste 100Suffolk, VA 23435-3727 Not confirmed with CMS for 18 years — call before visiting
Phone: (757) 686-9747
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 0101040623 (VA) |
|---|
Record details
| NPI number | 1770770380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Nichols — President · (757) 686-9747 |
| NPI enumerated | September 27, 2007 |
| Last updated in NPPES | July 16, 2008 |
| Mailing address | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 |
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