Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid Atlantic Dermatology

Organization Dermatology Physician · NPI 1073605333

Mid Atlantic Dermatology is a Dermatology Physician in Chesapeake, Virginia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

109 Wimbledon Sq Ste E
Chesapeake, VA 23320-4945
Phone: (757) 547-9830
Fax: (757) 548-0721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1073605333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Waller — Billing Manager · (757) 547-9830
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 9, 2008
Mailing address109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945

Other providers in Chesapeake