Healthcare Provider Details

I. General information

NPI: 1154323707
Provider Name (Legal Business Name): ROBIN LYNN POE-ZEIGLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 VIKING DR SUITE 100
VIRGINIA BEACH VA
23452-7331
US

IV. Provider business mailing address

448 VIKING DR SUITE 100
VIRGINIA BEACH VA
23452-7331
US

V. Phone/Fax

Practice location:
  • Phone: 757-496-5370
  • Fax: 757-481-3354
Mailing address:
  • Phone: 757-496-5370
  • Fax: 757-481-3354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number0101049953
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: