Central Virginia Dermatology in Forest - Dermatology
Central Virginia Dermatology - NPI 1669497962
Central Virginia Dermatology is a Dermatology in Forest, Virginia. Central Virginia Dermatology practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Central Virginia Dermatology is 1669497962. The last update date is 2020-08-22.
Central Virginia Dermatology's current location address is 2203 Graves Mill Rd, Forest, Virginia. You can contact this provider via phone number 4343851982 and fax number 4343851985. The mailing address for Central Virginia Dermatology is 2203 Graves Mill Rd, Forest, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Virginia Dermatology |
|---|---|
| Address | 2203 Graves Mill Rd, Forest, Virginia |
| Phone Number | 4343851982 |
| Fax Number | 4343851985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson Coleman David |
| Credentials | M.D. |
| Telephone Number | 4343851982 |
NPI Number Detail
| NPI Number | 1669497962 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2203 Graves Mill Rd |
|---|---|
| City | Forest |
| State | Virginia (VA) |
| Post Code | 245514296 |
| Phone Number | 4343851982 |
| Fax Number | 4343851985 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 101037565 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 332282 | VA | ANTHEM |
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What is the Central Virginia Dermatology's unique identification number?
The Central Virginia Dermatology has been assigned the NPI (National Provider Identifier) Number 1669497962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Central Virginia Dermatology's physical address?
The Central Virginia Dermatology is physically located at 2203 Graves Mill Rd, in the city of Forest, VA, with the postal code 245514296.
What is Central Virginia Dermatology's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Central Virginia Dermatology's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When did Central Virginia Dermatology receive its 1669497962 assignment?
The Central Virginia Dermatology was assigned its 1669497962 on 2006-07-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Central Virginia Dermatology's details last updated?
The information pertaining to the Central Virginia Dermatology, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY