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Organization
ALLYALIGN HEALTH, INC.
Active
Organization
ALLYALIGN HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRATTON (CHIEF OPERATING OFFICER)
(404) 822-5378
Entity
Organization
Contact information
Practice address
10900 NUCKOLS RD, SUITE 110, GLEN ALLEN, VA 23060-9276
(804) 747-0720
(804) 823-2568
Mailing address
10900 NUCKOLS RD, SUITE 110, GLEN ALLEN, VA 23060-9276
(804) 747-0720
(804) 823-2568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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