Healthcare Provider Details

I. General information

NPI: 1023795697
Provider Name (Legal Business Name): SARAH WRIGHT GILLS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E. WRIGHT AU.D.

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E LEIGH ST
RICHMOND VA
23298-5004
US

IV. Provider business mailing address

PO BOX 780125
PHILADELPHIA PA
19178-0125
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-0431
  • Fax: 804-807-7950
Mailing address:
  • Phone: 804-922-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201001922
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: