Provider Demographics
NPI:1932150489
Name:MYERS, JULIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:L
Last Name:MYERS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:860 OMNI BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:400 SENTARA CIR
Practice Address - Street 2:SUITE 400
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5716
Practice Address - Country:US
Practice Address - Phone:757-645-3150
Practice Address - Fax:757-645-3149
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-11-22
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Provider Licenses
StateLicense IDTaxonomies
SC25735207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCI15937Medicare UPIN