Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101248462 | VA |
NPI | 1093708281 |
---|---|
Provider Name | Jessica M Demay |
First Address | Richmond, VA 23226-3754 |
Second Address | Richmond, VA 23233-6661 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 23/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093708281 | (05) | VA |
H03688 | (02) |