Search › Virginia › 363A00000X
Tim Dominick, PA-C
NPI 1033536354 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1400 Johnston Willis Dr Ste A
North Chesterfield, VA 23235 - Phone
- (804) 379-8088
- Organisation at this address
- Orthovirginia, Inc
Orthovirginia, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2255A2300X
- Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia