Healthcare Provider Details

I. General information

NPI: 1841194461
Provider Name (Legal Business Name): ANDREW GEORGE BETTS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 SANIBEL CIR STE 408
VIRGINIA BEACH VA
23462-4680
US

IV. Provider business mailing address

4444 SANIBEL CIR STE 408
VIRGINIA BEACH VA
23462-4680
US

V. Phone/Fax

Practice location:
  • Phone: 757-408-4771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: