Individual
MS. AUSMA MEMON FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
201 S MAIN ST, SUITE 3200, DANVILLE, VA 24541-2927
(434) 799-4488
(434) 773-6977
Mailing address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-3859
(434) 773-6803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116028819
VA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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