Individual
DR. JONATHAN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9253
Mailing address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002752
VA
Other
Enumeration date
05/15/2019
Last updated
06/11/2025
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