| Revolution Healthcare Llc | |
|
3214 Seminary Ave Richmond VA 23227-4821 | |
| (804) 387-2635 | |
| Not Available |
| Full Name | Revolution Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3214 Seminary Ave, Richmond, Virginia |
| Authorized Official Name and Position | Claiborne Tucker Perdue (OWNER/MANAGER) |
| Authorized Official Contact | 8043872635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Healthcare Llc 3214 Seminary Ave Richmond VA 23227-4821 Ph: (804) 387-2635 | Revolution Healthcare Llc 3214 Seminary Ave Richmond VA 23227-4821 Ph: (804) 387-2635 |
| NPI Number | 1417694704 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417694704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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