Organization
SDM VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BRYANT (CEO)
(980) 233-3200
Entity
Organization
Contact information
Practice address
4198 COX RD STE 109, GLEN ALLEN, VA 23060-3328
(804) 967-9500
Mailing address
3340 ROBINWOOD RD, GASTONIA, NC 28054-6689
(980) 233-3234
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
10/04/2023
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