Individual
DR. KONDEH AUGUSTA GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD DOCTOR OF MEDICIN
Contact information
Practice address
8700 SUDLEY RD, PRINCE WILLIAM HOSPITAL, MANASSAS, VA 20110
(703) 396-5284
(703) 396-8051
Mailing address
807 SANTMYER DR SE, LEESBURG, VA 20175-5606
(571) 220-7450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101234737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036534
—
VA
Enumeration date
11/08/2006
Last updated
07/01/2021
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