Healthcare Provider Details

I. General information

NPI: 1013433440
Provider Name (Legal Business Name): MARCIE FRANCIS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10337 RICHMOND HWY
LYNCHBURG VA
24504-4042
US

IV. Provider business mailing address

10337 RICHMOND HWY
LYNCHBURG VA
24504-4042
US

V. Phone/Fax

Practice location:
  • Phone: 434-664-7033
  • Fax:
Mailing address:
  • Phone: 434-664-7033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: