Organization
RICHMOND MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAISA GOODWIN (CREDENTIALING CONSULTANT)
(757) 339-8798
Entity
Organization
Contact information
Practice address
5007C VICTORY BLVD STE 372, YORKTOWN, VA 23693-5601
(202) 904-3536
Mailing address
5007C VICTORY BLVD STE 372, YORKTOWN, VA 23693-5601
(202) 904-3536
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184891277
—
VA
Enumeration date
10/19/2022
Last updated
10/19/2022
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