Individual
DR. THERESA M LEDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11803 JEFFERSON AVE, STE 100, NEWPORT NEWS, VA 23606-2565
(757) 594-1862
(757) 275-9785
Mailing address
11803 JEFFERSON AVE, STE 100, NEWPORT NEWS, VA 23606-2565
(757) 594-1862
(757) 275-9785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102049964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010104505
—
VA
Enumeration date
02/17/2006
Last updated
01/25/2012
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