BURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC
NPI 1194346734
Specialist in Richmond, VA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since May 06, 2020

7101 JAHNKE RD, RICHMOND, VA 23225(706) 863-9595(706) 447-7184 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2022, Oct 5, 2022, May 18, 2021 and 3 more (6 updates tracked since 2020).

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About Burn And Reconstructive Centers Of Virginia, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC (NPI 1194346734) is a healthcare organization registered as a specialist in Richmond, Virginia and active in the NPI registry since May 2020. The organization maintains 2 additional practice locations and lists Shawn Fagan, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1194346734

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC

Location Address7101 JAHNKE RDRichmond, VA 23225-4017

Mailing AddressPo Box 3548Augusta, GA 30914-3548 · (706) 863-9595 · Fax (706) 447-7184

Phone(706) 863-9595

Fax(706) 447-7184

Organization SubpartNo

Authorized OfficialShawn FaganOwner/md · (706) 863-9595

Enumeration DateMay 6, 2020

Last NPPES UpdateOctober 11, 20226 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1194346734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7101 JAHNKE RD, Richmond, VA 23225

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Secondary Practice Locations 2

Location 13675 J Dewey Gray Cir Ste 300Augusta, GA 30909-1868 · Phone (706) 863-9595 · Fax (706) 447-7184

Location 23651 Wheeler RdAugusta, GA 30909-6521 · Phone (706) 863-9595 · Fax (706) 447-7184

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP