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Organization

MEDIC 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AIMEE VANESSA HEGADORN (PRACTICE MANAGER)
(540) 371-1664
Entity
Organization

Contact information

Practice address
20 105 PLANTATION DR, FREDERICKSBURG, VA 22406
(540) 368-2020
(540) 368-2030
Mailing address
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408
(540) 371-1664
(540) 371-2411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201074
VA

Other

Enumeration date
07/11/2006
Last updated
08/22/2020
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