Bragg, Margo C

Bragg, Margo C is an individual health care provider with primary practice located at 120 Executive Center Pkwy , Fredericksburg VA 22401-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bragg, Margo C can be contacted via phone (540) 374-5200.

Contact Information

Primary practice address
120 Executive Center Pkwy Fredericksburg VA 22401-3100
Phone: (540) 374-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001678 Virginia

Profile Details

NPI number 1255527404
LBN Legal business name Bragg, Margo C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated May 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255527404 NPPES
Other C01596 MEDICARE GROUP NUMBER

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