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Organization
COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization
COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA S HUNTER (OFFICE MANAGER)
(804) 559-3400
Entity
Organization
Contact information
Practice address
7504 RIGHT FLANK ROAD, MECHANICSVILLE, VA 23116
(804) 559-3400
(804) 559-3362
Mailing address
7504 RIGHT FLANK ROAD, MECHANICSVILLE, VA 23116-3818
(804) 559-3400
(804) 559-3362
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
02/16/2023
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