Provider Demographics
NPI:1144955014
Name:SILVERS SURGICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:SILVERS SURGICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-439-4886
Mailing Address - Street 1:14400 TOOLEY TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6633
Mailing Address - Country:US
Mailing Address - Phone:804-439-4886
Mailing Address - Fax:804-768-6058
Practice Address - Street 1:200 MEDICAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9274
Practice Address - Country:US
Practice Address - Phone:804-439-4886
Practice Address - Fax:804-768-6058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty