Whalio Doctors

NPI 1457674954

Degraft-Johnson Medical Associates PC

Organisation Family Medicine Physician Kingshill, VI

Practice location

Address
Rr 1 Box 6196 Agape Medical Center, Kingshill, VI 00850-9826
Phone
(340) 772-2000
Fax
(340) 778-9798

Authorised official

Name
Latifa Degraft-Johnson
Title
Vice President
Phone
(612) 669-5048

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 1578 (VI)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 1579 (VI)

Registry record

NPI
1457674954
Entity type
Organization
NPI issued
11 Mar 2010
Record last updated
30 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.