Organization
VIRGINIA ENT SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HICKEY (CEO)
(804) 285-5907
Entity
Organization
Contact information
Practice address
6600 W BROAD ST STE 210, RICHMOND, VA 23230-1709
(804) 484-3700
(804) 320-6462
Mailing address
PO BOX 36007, NORTH CHESTERFIELD, VA 23235-8000
(804) 484-3702
(804) 320-6462
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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