Organization
RICHMOND DERMATOLOGY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SPILLER (PRACTICE ADMINISTRATOR)
(804) 282-8510
Entity
Organization
Contact information
Practice address
9816 MAYLAND DR, RICHMOND, VA 23233-1457
(804) 282-8510
(804) 285-5750
Mailing address
PO BOX 63372, CHARLOTTE, NC 28263-3372
(804) 282-8510
(804) 285-5750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101028959
VA
Other
Enumeration date
07/07/2006
Last updated
11/04/2013
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