Organization
RETREAT SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VP)
(804) 237-7760
Entity
Organization
Contact information
Practice address
101 CORWARDIN AVE, SUITE 201, RICHMOND, VA 23224
(804) 230-4116
(804) 230-4355
Mailing address
101 CORWARDIN AVE, SUITE 201, RICHMOND, VA 23224
(804) 230-4116
(804) 230-4355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285721035
—
VA
Enumeration date
10/05/2006
Last updated
11/12/2007
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