Organization
JDG MEDICINE
Active
Other names
Center for Comprehensive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM-DAVID GAGLIONE MD (PRESIDENT)
(757) 793-3644
Entity
Organization
Contact information
Practice address
397 LITTLE NECK RD, 3300 SOUTH BUILDING, SUITE 314, VIRGINIA BEACH, VA 23452-5765
(757) 773-2668
(757) 299-4141
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BUILDING, SUITE 314, VIRGINIA BEACH, VA 23452-5765
(757) 321-8160
(757) 299-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101048671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101048671
LICENSE
VA
01
—
1487629796
NPI
VA
Enumeration date
10/01/2014
Last updated
03/07/2023
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