Individual
AKPOMEVIGHO A AVBOVBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WILBORN AVE, SOUTH BOSTON, VA 24592-1628
(434) 517-8022
Mailing address
2100 WILBORN AVE, SOUTH BOSTON, VA 24592-1628
(434) 517-8022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101274912
VA
208000000X
Pediatrics Physician
V8933
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
03/02/2026
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