Provider Demographics
NPI:1760641336
Name:GIVENS, PAUL BROWN JR
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:BROWN
Last Name:GIVENS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SETTLERS RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2059
Mailing Address - Country:US
Mailing Address - Phone:757-599-5418
Mailing Address - Fax:
Practice Address - Street 1:86 SETTLERS RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2059
Practice Address - Country:US
Practice Address - Phone:757-599-5418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-08
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101012543208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice