Organization
JAMES RIVER DERMATOLOGY PLLC
Active
Parent organization
JAMES RIVER DERMATOLOGY PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES RIVER DERMATOLOGY PLLC
Authorized official
DR. LAURA REGAN MD (PHYSICIAN)
(804) 379-0116
Entity
Organization
Contact information
Practice address
6372 MECHANICSVILLE TPKE STE 103, MECHANICSVILLE, VA 23111
(804) 379-0116
(804) 379-1088
Mailing address
PO BOX 72605, NORTH CHESTERFIELD, VA 23235-8017
(804) 379-0116
(804) 379-1088
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
0101238821
VA
Other
Enumeration date
11/14/2016
Last updated
09/07/2018
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