Individual
MRS. EUGENIA DANYELLE PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
110 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4863
(540) 382-9405
(540) 382-2958
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001464
VA
363AM0700X
Medical Physician Assistant
0110001464
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011302
—
VA
Enumeration date
03/28/2006
Last updated
01/26/2024
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