Individual
GEORGE T GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Mailing address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110000129
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110000129
PHYSICIAN ASST LICENSE
VI
05
—
1104848449
—
VA
Enumeration date
07/24/2006
Last updated
03/07/2023
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