Organization
ELKRIDGE GATHERING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRONDA JOHNSON (OWNER)
(804) 745-2567
Entity
Organization
Contact information
Practice address
7136 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23225-5501
(804) 745-2567
Mailing address
7136 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23225-5501
(804) 745-2567
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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