Dr. Fredrick Newell Southern
Vascular Surgeon
5589 Greenwich Rd Ste 100
Virginia Beach
, Virginia 23462
Dr. Fredrick Newell Southern
Vascular Surgeon
5589 Greenwich Rd Ste 100
Virginia Beach
, Virginia 23462
(757) 502-8800
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Fredrick Newell Southern
- 5589 Greenwich Rd Ste 100
- Virginia Beach, VA
- Zip : 23462-6565
- Fax : (757) 502-8800
- Phone : (757) 437-2882
Second Address
- Dr. Fredrick Newell Southern
- 5589 Greenwich Rd Ste 100
- Virginia Beach, VA
- Zip : 23462
- Fax : (757) 502-8800
- Phone : (757) 437-2882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 0101044423 | VA |
National Provider Identifier
| NPI | 1154381333 |
|---|---|
| Provider Name | Dr. Fredrick Newell Southern |
| First Address | Virginia Beach, VA 23462-6565 |
| Second Address | Virginia Beach, VA 23462 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 08/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.