Organization
MEDIC 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AIMEE VANESSA HEGADORN (PRACTICE MANAGER)
(540) 371-1664
Entity
Organization
Contact information
Practice address
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408
(540) 371-1664
(540) 371-2411
Mailing address
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408
(540) 371-1664
(540) 371-2411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001678
VA
Other
Enumeration date
07/11/2006
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up