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Organization

DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC

Active
Other names
Ridgeview Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON D GIVAN M.D. (OWNER)
(434) 363-4190
Entity
Organization

Contact information

Practice address
101 CANDLEWOOD CT, SUITE 201, LYNCHBURG, VA 24502-2654
(434) 363-4190
(434) 363-4191
Mailing address
101 CANDLEWOOD CT, SUITE 201, LYNCHBURG, VA 24502-2654
(434) 363-4190
(434) 363-4191

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101248532
VA

Other

Enumeration date
01/11/2014
Last updated
12/02/2014
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