| Degraft-johnson Medical Associates Pc | |
|
Rr 1 Box 6196 Agape Medical Center Kingshill VI 00850-9826 | |
| (340) 772-2000 | |
| (340) 778-9798 |
| Full Name | Degraft-johnson Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | Rr 1 Box 6196, Kingshill, Virgin Island |
| Authorized Official Name and Position | Latifa Degraft-johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6126695048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Degraft-johnson Medical Associates Pc Rr 1 Box 6196 Agape Medical Center Kingshill VI 00850-9826 Ph: (340) 772-2000 | Degraft-johnson Medical Associates Pc Rr 1 Box 6196 Agape Medical Center Kingshill VI 00850-9826 Ph: (340) 772-2000 |
| NPI Number | 1457674954 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457674954 | NPI | - | NPPES |
| 1538111471 | Other | NPI | |
| 1194970475 | Other | VI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1578 (Virgin Island) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 1579 (Virgin Island) | Secondary |
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