Organization
BURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN FAGAN (OWNER/MD)
(706) 863-9595
Entity
Organization
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(706) 863-9595
(706) 447-7184
Mailing address
PO BOX 3548, AUGUSTA, GA 30914-3548
(706) 863-9595
(706) 447-7184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
10/11/2022
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