Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101043681 | VA |
NPI | 1003885492 |
---|---|
Provider Name | James T Christmas |
First Address | Richmond, VA 23230-0168 |
Second Address | Richmond, VA 23229-4933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006210155 | (05) | VA |
1164481131 | GROUP NPI (01) | VA |