Organization
COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA S HUNTER (OFFICE MANAGER)
(804) 559-3400
Entity
Organization
Contact information
Practice address
7504 RIGHT FLANK ROAD, MECHANICSVILLE, VA 23116
(804) 559-3400
(804) 559-3362
Mailing address
7504 RIGHT FLANK ROAD, MECHANICSVILLE, VA 23116-3818
(804) 559-3400
(804) 559-3362
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
02/16/2023
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