MEDICARE: AMERICAN ACCESS CARE OF RICHMOND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1407947898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN ACCESS CARE OF RICHMOND LLC

Provider Business Mailing Address
First Line	:	PO BOX 277771
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-7771
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	2235 STAPLES MILL RD STE 104
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2942
Country	:	US
Telephone Number	:	804-355-9729
Fax Number	:	804-355-9731

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. GREGG A MILLER
Credential	:	MD
Telephone Number	:	717-515-4048

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	12/09/2025

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