MEDICARE: DR. DAVID NESBITT M.D.

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	207P00000X	Emergency Medicine Physician	0101264750	VA

General Provider Information

NPI Number	:	1588059810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID NESBITT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 10640
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2706 OGDEN RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0600
Country	:	US
Telephone Number	:	540-970-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	11/05/2024

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