Organization
DIRECT ACCESS INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HAGGERTY MD (OWNER)
(804) 832-0391
Entity
Organization
Contact information
Practice address
6609 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 832-0391
Mailing address
6609 MAIN ST, GLOUCESTER, VA 23061-5194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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