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Individual

DR. CLETUS TITANJI ATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
109 BRIDGE ST, STE 201, DANVILLE, VA 24541
(434) 799-4488
(434) 773-6977
Mailing address
109 BRIDGE ST, STE 201, DANVILLE, VA 24541
(434) 799-4488
(434) 773-6977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116039763
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/03/2024
Last updated
06/16/2024
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