Individual
CAMILLE A HAISLEY-ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 FOREST AVE STE 400, RICHMOND, VA 23230-1726
(804) 282-0831
(804) 288-7135
Mailing address
7001 FOREST AVE STE 400, RICHMOND, VA 23230-1726
(804) 282-0831
(804) 288-7135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101233942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005901235
—
VA
Enumeration date
04/03/2006
Last updated
10/25/2012
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