Individual
DR. VIRGINIA PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 GA HIGHWAY 49 N STE 1900, BYRON, GA 31008-4059
(478) 238-3552
(478) 259-6170
Mailing address
1408 KILRUSH DR, ORMOND BEACH, FL 32174-2882
(406) 495-7265
(406) 443-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7919
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024191
—
MT
05
—
1193597
—
WY
01
—
13771
BLUE CROSS
MT
Enumeration date
09/27/2006
Last updated
01/29/2025
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