Organization
REVOLUTION HEALTH CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY MONROE BUSH MD (PRESIDENT)
(434) 566-7628
Entity
Organization
Contact information
Practice address
190 JAMES RIVER RD, SCOTTSVILLE, VA 24590-3812
(434) 321-5257
(434) 321-5259
Mailing address
3048 ALBERENE CHURCH LN, ESMONT, VA 22937-1516
(434) 566-7628
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101239018
VA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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