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Organization

SPINE AND ORTHOPEDIC PAIN CENTER

Active
Other names
Bragg Spine and Orthopedic Pain Center PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WINIFRED D BRAGG MD (CEO PRESIDENT)
(757) 333-3360
Entity
Organization

Contact information

Practice address
6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093
Mailing address
6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101052700
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010209692
VA
Enumeration date
10/12/2007
Last updated
06/01/2012
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