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NPI Code Detail

MEDICARE: RICHMOND DERMATOLOGY SPECIALISTS

MEDICARE: RICHMOND DERMATOLOGY SPECIALISTS
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
1174400000XSpecialist101028959VA

General Provider Information

NPI Number : 1508898420
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND DERMATOLOGY SPECIALISTS
Provider Business Mailing Address
First Line : PO BOX 63372
Second Line :
City : CHARLOTTE
State : NC
Zip : 28263-3372
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Provider Business Practice Location Address
First Line : 9816 MAYLAND DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1457
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MRS. KIMBERLY SPILLER
Credential :
Telephone Number : 804-282-8510
Provider Enumeration Date : 07/07/2006
Last Update Date : 11/04/2013

Similar Medicare Providers

1336142306 — DR. EDWARD N KITCES M.D., PH.D.
Practice Location Address:
9816 MAYLAND DR , 100
RICHMOND, VA
23233-1457
Practice Phone: 804-282-8510
Practice Fax: 804-285-5750
1598767808 — DR. EILEEN C KITCES M.D.
Practice Location Address:
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1760421416 — MELISSA W. C. KING M.D.
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9816 MAYLAND DR , SUITE 100
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23233-1457
Practice Phone: 804-282-8510
Practice Fax: 804-285-5750
1720008246 — MARGARET HITCHCOCK TERHUNE M.D.
Practice Location Address:
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Practice Fax: 804-285-5750
1568558625 — VICTORIA L GROSS MD
Practice Location Address:
9816 MAYLAND DR , 100
RICHMOND, VA
23233-1457
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1083811426 — SUZANNE K PECK MD
Practice Location Address:
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23233-1457
Practice Phone: 804-282-8510
Practice Fax: 804-285-5750

Directions to “RICHMOND DERMATOLOGY SPECIALISTS ” Practice Location

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