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Individual

DR. MAURICE KIETH EGGLESTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 HOSPITAL DR STE 200, FREDERICKSBURG, VA 22401-8451
(540) 741-3260
Mailing address
10 TOWERING OAKS DR, FREDERICKSBURG, VA 22405-8732
(540) 735-4341

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
0101031234
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q2125
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006217265
VA
01
187156
ANTHEM BC/BK VA/HK
VA
05
89066A1
NC
01
PAR
CORVEL CORCARE
VA
Enumeration date
02/14/2006
Last updated
04/16/2025
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