Healthcare Provider Details

I. General information

NPI: 1225172810
Provider Name (Legal Business Name): SOUTHEASTERN VIRGINIA TRAINING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STEPPINGSTONE SQ
CHESAPEAKE VA
23320-2517
US

IV. Provider business mailing address

2100 STEPPINGSTONE SQUARE
CHESAPEAKE VA
23320
US

V. Phone/Fax

Practice location:
  • Phone: 757-424-8201
  • Fax: 757-424-8348
Mailing address:
  • Phone: 757-424-8201
  • Fax: 757-424-8348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT D SHREWSBERRY
Title or Position: DIRECTOR
Credential: PHD
Phone: 757-424-8201