Provider Demographics
NPI:1013433440
Name:FRANCIS, MARCIE JR
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:
Last Name:FRANCIS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10337 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-4042
Mailing Address - Country:US
Mailing Address - Phone:434-664-7033
Mailing Address - Fax:
Practice Address - Street 1:10337 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-4042
Practice Address - Country:US
Practice Address - Phone:434-664-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver