Individual
MARGARET CORAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 ORCHARD DR, MADISON HEIGHTS, VA 24572-2765
(434) 221-3874
Mailing address
232 ORCHARD DR, MADISON HEIGHTS, VA 24572-2765
(434) 221-3874
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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