Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101258873 | VA |
Y | 111NI0900X | Internist | 0101258873 | VA |
NPI | 1003281296 |
---|---|
Provider Name | Barbara Sarris |
First Address | Suffolk, VA 23435-3657 |
Second Address | Chesapeake, VA 23321-5536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2015 |
Last Update Date | 14/12/2015 |