| NPI | 1750703666 |
|---|---|
| Doing Business As | RIDGEVIEW DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JASON D GIVAN Owner 434-363-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101248532) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-12-02 |