Organization
REVOLUTION HEALTHCARE LLC
Active
Other names
Revolution Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAIBORNE TUCKER PERDUE III NP (OWNER/MANAGER)
(804) 387-2635
Entity
Organization
Contact information
Practice address
3214 SEMINARY AVE, RICHMOND, VA 23227-4821
(804) 387-2635
Mailing address
3214 SEMINARY AVE, RICHMOND, VA 23227-4821
(804) 387-2635
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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