Burn and Reconstructive Centers of Virginia, Pllc

NPI #1194346734 in Richmond, Virginia

Provider Information

NPI Number: 1194346734
Entity Type: Organization
Organization Name: Burn and Reconstructive Centers of Virginia, Pllc
Primary Specialty: Specialist
Enumeration Date: May 6, 2020
Last Updated: Oct 11, 2022

Practice Location

Address: 7101 JAHNKE RD
City: Richmond
State: Virginia
ZIP Code: 23225-4017
Phone: (706) 863-9595

Authorized Official

Name: SHAWN FAGAN
Title: OWNER/MD
Phone: (706) 863-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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