Healthcare Provider Details

I. General information

NPI: 1770621609
Provider Name (Legal Business Name): REPRODUCTIVE HEALTHCARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 12/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4633 HERMITAGE RD
VIRGINIA BEACH VA
23455-4356
US

IV. Provider business mailing address

4633 HERMITAGE RD
VIRGINIA BEACH VA
23455-4356
US

V. Phone/Fax

Practice location:
  • Phone: 757-340-3489
  • Fax: 757-340-4278
Mailing address:
  • Phone: 757-340-3489
  • Fax: 757-340-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number010134435
License Number StateVA

VIII. Authorized Official

Name: DR. SHARON J BYRD
Title or Position: PRESIDENT
Credential: MD
Phone: 757-363-2800