T.a.g. Inc. | |
25801 Cox Rd North Dinwiddie VA 23803-6517 | |
(804) 647-9292 | |
Not Available |
Full Name | T.a.g. Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 25801 Cox Rd, North Dinwiddie, Virginia |
Authorized Official Name and Position | Jaquan Winston (DIRECTOR) |
Authorized Official Contact | 8046479292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T.a.g. Inc. 25801 Cox Rd North Dinwiddie VA 23803-6517 Ph: (804) 647-9292 | T.a.g. Inc. 25801 Cox Rd North Dinwiddie VA 23803-6517 Ph: (804) 647-9292 |
NPI Number | 1851723779 |
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Provider Enumeration Date | 08/01/2013 |
Last Update Date | 08/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851723779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 204903001 (Virginia) | Primary |
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