Healthcare Provider Details

I. General information

NPI: 1255366753
Provider Name (Legal Business Name): ARLEETA M DIGGS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/23/2020
Certification Date: 03/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 HARBOUR LN
MIDLOTHIAN VA
23112
US

IV. Provider business mailing address

PO BOX 11768
RICHMOND VA
23230-0168
US

V. Phone/Fax

Practice location:
  • Phone: 804-250-5740
  • Fax:
Mailing address:
  • Phone: 804-281-3319
  • Fax: 804-213-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101226755
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: