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Organization
RICHMOND SPINE AND REHAB
Active
Organization
RICHMOND SPINE AND REHAB
Active
Other names
Greenville Alliance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BUSCH (PRACTICE MANAGER)
(804) 592-2225
Entity
Organization
Contact information
Practice address
4906 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
(804) 592-2225
Mailing address
PO BOX 1539, MIDLOTHIAN, VA 23113-1539
(804) 592-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194951616
ORGANIZATION NPI
VA
01
—
1326285834
INDIVIDUAL NPI
VA
Enumeration date
06/10/2009
Last updated
08/29/2024
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