Jacqueline M Fogarty MD PC
NPI #1043585623 in South Boston, Virginia
Provider Information
- NPI Number
- 1043585623
- Entity Type
- Organization
- Organization Name
- Jacqueline M Fogarty MD PC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Mar 15, 2012
- Last Updated
- Mar 15, 2012
Practice Location
- Address
- 409 OAK LN
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1633
- Phone
- (434) 572-8300
Authorized Official
- Name
- DR. JACQUELINE M FOGARTY, MD
- Title
- PRESIDENT/OWNER
- Phone
- (434) 572-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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