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Individual

MRS. JULIA ANNETTE JOHNSON RAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
16366 COURTHOUSE ROAD, EASTVILLE, VA 23347-1349
(757) 678-5295
(757) 678-5351
Mailing address
PO BOX 1349, EASTVILLE, VA 23347-1349
(757) 678-5295
(757) 678-5351

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102050167
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139650
ANTHEM BCBS OF VA
VA
05
7610408
VA
Enumeration date
11/21/2005
Last updated
08/06/2007
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