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Organization

SOUTHPOINTE OBGYN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEIGH A RAUBENOLT (ADMIN)
(540) 371-4488
Entity
Organization

Contact information

Practice address
4710 SPOTSYLVANIA PKWY, SUITE 205, FREDERICKSBURG, VA 22407-9433
(540) 371-4488
Mailing address
4710 SPOTSYLVANIA PKWY, SUITE 205, FREDERICKSBURG, VA 22407-9433
(540) 710-2324
(540) 710-2381

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306160254
VA
Enumeration date
03/22/2010
Last updated
08/06/2010
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