Individual
MR. DAVID CUSHMAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4807 HERMITAGE RD, SUITE 102, RICHMOND, VA 23227-3335
(804) 262-7888
(804) 262-3646
Mailing address
4807 HERMITAGE RD, SUITE 102, RICHMOND, VA 23227-3335
(804) 262-7888
(804) 262-3646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056283
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118026
SOUTHERN HEALTH
VA
01
—
227923
ANTHEM
VA
Enumeration date
09/07/2006
Last updated
07/08/2007
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