Healthcare Provider Details
I. General information
NPI: 1760058762
Provider Name (Legal Business Name): TOOMBS, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2021
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7800 REEDY BRANCH RD
CHESTERFIELD VA
23838-5705
US
IV. Provider business mailing address
7800 REEDY BRANCH RD
CHESTERFIELD VA
23838-5705
US
V. Phone/Fax
- Phone: 804-584-8898
- Fax: 804-587-8898
- Phone: 804-584-8898
- Fax: 804-587-8898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LAURA
CRITTENDEN
TOOMBS
Title or Position: OWNER/ OPERATOR
Credential: MD
Phone: 804-584-8898