# TRAUMA MEDICINE SERVICES OF VA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528765690
- **Authorized official:** VYVYAN DEROUEN (PRESIDENT)
- **Authorized official phone:** (615) 376-5076

## Contact information

- **Practice address:** 4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
- **Practice address phone:** (540) 498-4000
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 373-7406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2023
- **Last updated:** 11/20/2025