Organization
JOHN RANDOLPH SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VICE PRESIDENT)
(804) 237-7760
Entity
Organization
Contact information
Practice address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(804) 452-1647
(804) 452-1649
Mailing address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(804) 452-1647
(804) 452-1649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235208125
—
VA
Enumeration date
11/07/2006
Last updated
01/11/2008
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