Individual
JAMES MELBOURNE TAIT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4911 AUGUSTA AVE, RICHMOND, VA 23230-3601
(804) 254-0200
Mailing address
101 N STAFFORD AVE APT 10, RICHMOND, VA 23220-4454
(804) 516-0822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557435
VA
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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