Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0101241941 | VA |
NPI | 1083816722 |
---|---|
Provider Name | Tammy Rochelle Spring |
First Address | Richmond, VA 23294-4371 |
Second Address | Richmond, VA 23294-4371 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 29/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083816722 | (05) | VA |