Individual
MR. GREG ALAN BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT/CWS
Contact information
Practice address
3005 CORPORATE LN, SUITE 200, SUFFOLK, VA 23434-9274
(757) 923-3207
(757) 923-3208
Mailing address
3005 CORPORATE LN, SUITE 200, SUFFOLK, VA 23434-9274
(757) 923-3207
(757) 923-3208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202479
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195317
ANTHEM
VA
Enumeration date
10/17/2007
Last updated
10/17/2007
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