Individual
JAMES BAUSS HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2760 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8501
(757) 983-8650
Mailing address
2760 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8501
(757) 983-8650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275637
VA
390200000X
Student in an Organized Health Care Education/Training Program
1401164840
VA
Other
Enumeration date
06/20/2019
Last updated
05/06/2024
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