MEDICARE: SUSAN E RING MD & ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	0101040461	VA

General Provider Information

NPI Number	:	1063743920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN E RING MD & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1004 FIRST COLONIAL RD
Second Line	:	SUITE 102
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3070
Country	:	US
Telephone Number	:	757-321-6096
Fax Number	:	757-321-6145

Provider Business Practice Location Address
First Line	:	1004 FIRST COLONIAL RD
Second Line	:	SUITE 102
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3070
Country	:	US
Telephone Number	:	757-321-6096
Fax Number	:	757-321-6145

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. SUSAN ELIZABETH RING
Credential	:	MD
Telephone Number	:	757-321-6096

Provider Enumeration Date	:	01/15/2010
Last Update Date	:	01/20/2010

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