Controlled Outcomes

Specialty details in registry · North Prince George, VA

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At a glance

3714 Ruffin Rd, North Prince George, VA 23860-8629

NPPES record updated Dec 28, 2016. Public records can lag behind changes at a practice.

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Practice location

3714 Ruffin Rd
North Prince George, VA 23860-8629
Professional details: NPI, taxonomy & registry record
NPI1861937971
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Dec 28, 2016
Record updated
Dec 28, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

Specialty details in registry

251S00000X

Specialty details in registry

251V00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3714 Ruffin Rd
North Prince George, VA 23860-8629
Phone
(804) 415-8106
Fax
(804) 415-8106
Mailing address
3714 RUFFIN RD

NORTH PRINCE GEORGE, VA 238608629
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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