Provider Demographics
NPI:1053498071
Name:LYNCHBURG NEPHROLOGY PHYSICIANS,P.L.L.C.
Entity Type:Organization
Organization Name:LYNCHBURG NEPHROLOGY PHYSICIANS,P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DIXON
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-947-3954
Mailing Address - Street 1:103 CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1460
Mailing Address - Country:US
Mailing Address - Phone:434-947-3954
Mailing Address - Fax:434-947-5944
Practice Address - Street 1:103 CLIFTON ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1460
Practice Address - Country:US
Practice Address - Phone:434-947-3954
Practice Address - Fax:434-947-5944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty