Provider Demographics
NPI:1194556043
Name:RICHMOND MICROSURGEONS, LLC
Entity type:Organization
Organization Name:RICHMOND MICROSURGEONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-477-8255
Mailing Address - Street 1:14401 SOMMERVILLE CT STE 1A
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6914
Mailing Address - Country:US
Mailing Address - Phone:804-285-4115
Mailing Address - Fax:
Practice Address - Street 1:14401 SOMMERVILLE CT STE 1A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6914
Practice Address - Country:US
Practice Address - Phone:804-285-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty