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JAMES RIVER DERMATOLOGY PLLC NPI 1023550654


NPI Information

NPI: 1023550654
Provider Name: JAMES RIVER DERMATOLOGY PLLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 49D2123574

Address:
6372 MECHANICSVILLE TPKE STE 103
MECHANICSVILLE, VA
ZIP 23111
Phone: (804) 379-0116
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JAMES RIVER DERMATOLOGY PLLC is a procedural dermatology dermatology in Mechanicsville, VA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). JAMES RIVER DERMATOLOGY PLLC NPI is 1023550654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6372 MECHANICSVILLE TPKE STE 103
MECHANICSVILLE, VA
ZIP 23111
Phone: (804) 379-0116
Fax: (804) 379-1088

The provider's authorized official is Laura Regan .
The authorized official title is Physician and has the following contact phone number (804) 379-0116.

The CLIA number assigned to this NPI record is 49D2123574 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/14/2016 and was last updated on 9/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology0101238821VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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