Individual
MS. WINIFRED DIANE BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6160 KEMPSVILLE CIR, STE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093
Mailing address
6160 KEMPSVILLE CIR, SUITE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
0101052700
VA
208100000X
Physical Medicine & Rehabilitation Physician
0101052700
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101052700
VA
208VP0014X
Interventional Pain Medicine Physician
0101052700
VA
Other
Enumeration date
01/26/2006
Last updated
06/01/2012
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