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General NPI Number Information
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NPI Number | 1467444075
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Entity Type | Individual
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Provider Name | WILLIAM LUVERNE LITTLE JR. DO
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 3315 HIGH ST THE CENTER FOR PAIN MANAGEMENT
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3319
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Country | US
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Telephone | 757-399-0759
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Fax | 757-397-8951
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Provider Business Mailing Address
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Address Line | 1558 CHERRY GROVE RD N
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City | SUFFOLK
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State | VA
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Zip | 23432-1822
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Country | US
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Telephone | 757-255-2488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0102050102
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License Number State | VA
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