| 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 |
|---|---|
| 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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