Organization
COMPREHENSIVE ENT P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN REDMON M.D. (PRESIDENT)
(804) 228-4480
Entity
Organization
Contact information
Practice address
5219 HICKORY PARK DR., SUITE C, GLEN ALLEN, VA 23059
(804) 228-4480
(804) 228-4484
Mailing address
5219 HICKORY PARK DR., SUITE C, GLEN ALLEN, VA 23059
(804) 228-4480
(804) 228-4484
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101049959
VA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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