Healthcare Provider Details

I. General information

NPI: 1053758706
Provider Name (Legal Business Name): HUNTER SURGICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 06/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 SEMMES AVE
RICHMOND VA
23225-3754
US

IV. Provider business mailing address

2919 SEMMES AVE
RICHMOND VA
23225-3754
US

V. Phone/Fax

Practice location:
  • Phone: 804-874-6869
  • Fax:
Mailing address:
  • Phone: 804-874-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: RONALD VINCENT HUNTER
Title or Position: CERTIFIED SURGICAL ASSISTANT
Credential:
Phone: 804-874-6869