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NPI Code Detail

MEDICARE: DR. JILL ELAINE RYLAND M.D.

MEDICARE: DR. JILL ELAINE RYLAND M.D.
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
1208000000XPediatrics Physician0101051967VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113849OTHERVACIGNA
2178896OTHERVAANTHEM
33292051OTHERVAAETNA HMO
48133376OTHERVAMAMSI/OPTIMUM CHOICE
5202916498OTHERVAUNITED HEALTHCARE
6260983OTHERVASOUTHERN HEALTH
75148020OTHERVAAETNA
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9136951OTHERVAANTHEM HK
1010706OTHERVAOTIMA FAMILY CARE

General Provider Information

NPI Number : 1699731554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL ELAINE RYLAND M.D.
Provider Business Mailing Address
First Line : 5207 HICKORY PARK DR
Second Line : SUITE C
City : GLEN ALLEN
State : VA
Zip : 23059-2624
Country : US
Telephone Number : 804-377-8981
Fax Number : 804-377-8984
Provider Business Practice Location Address
First Line : 5207 HICKORY PARK DR
Second Line : SUITE C
City : GLEN ALLEN
State : VA
Zip : 23059-2624
Country : US
Telephone Number : 804-377-8981
Fax Number : 804-377-8984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 12/08/2015

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