Direct Access Internal Medicine Ltd
NPI #1639476831 in Gloucester, Virginia
Provider Information
- NPI Number
- 1639476831
- Entity Type
- Organization
- Organization Name
- Direct Access Internal Medicine Ltd
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 24, 2011
- Last Updated
- Feb 24, 2011
Practice Location
- Address
- 6609 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5194
- Phone
- (804) 832-0391
Authorized Official
- Name
- RONALD HAGGERTY, MD
- Title
- OWNER
- Phone
- (804) 832-0391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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