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Breatheamerica, Richmond, LLC

Allergy & Immunology in Glen Allen, VA. Organization (NPI-2).

NPI number1265784342
StatusActive
Last updated in NPPESFeb 25, 2014

Details

NPI
1265784342
Entity type
Organization (NPI-2)
Legal business name
Breatheamerica, Richmond, LLC
Organization subpart
Yes
Enumeration date
Oct 12, 2012
Last updated
Feb 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & Immunology–VAYes

Practice location

201 Concourse Blvd
Suite 100
Glen Allen, VA 23059-5640

Phone 804-968-4824 · Fax 804-968-4826

Mailing address

1 Burton Hills Blvd
Suite 375
Nashville, TN 37215-6293

Phone 615-665-8775 · Fax 615-665-8776

Authorized official

Timothy James Miller
Vp Managed Care
6156657122

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