Organization
RICHMOND PEDIATRIC SURGEONS LLC
Active
Other names
no dba Richmond Pediatric Surgeons LLC - 7101
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (GROUP VP/AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
7115 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 828-6727
(804) 228-6730
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
10/30/2020
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