Organization
DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC
Active
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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