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Dr. Isaac Leake Wornom III
Plastic and Reconstructive Surgery Physician in Richmond, Virginia
NPI 1568407070

Isaac Leake Wornom III is a Plastic and Reconstructive Surgery Physician based in Midlothian, VA and is specialized in Plastic and Reconstructive Surgery. Isaac Leake Wornom III practices in Richmond, VA. The NPI Number for Isaac Leake Wornom III is 1568407070 and holds a License No. 0101043924 (Virginia).

The current practice location address for Isaac Leake Wornom III is 1630 Wilkes Ridge Pkwy Ste 201, Richmond, VA and can be reached out via phone at 804-285-4115 and via fax at 804-673-6714. You can also correspond with Isaac Leake Wornom III through the mailing address at 14401 SOMMERVILLE CT, MIDLOTHIAN, VA - 23113-6836 (mailing address contact number: 804-285-4115).

Location: 1630 Wilkes Ridge Pkwy Ste 201, Richmond, VA, 23113-6836
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Provider Profile Details
NPI Number
1568407070
Provider Name
Isaac Leake Wornom III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1630 Wilkes Ridge Pkwy Ste 201, Richmond, VA, 23113-6836
Phone Number
804-285-4115
Fax Number
804-673-6714
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009999558 05 VA
institution
Provider Business Practice Location Address Details
Address
1630 Wilkes Ridge Pkwy Ste 201
City
State
Zip
23233-7460
Phone Number
804-285-4115
Fax Number
804-673-6714
person
Provider Business Mailing Address Details
Address
1630 Wilkes Ridge Pkwy Ste 201
City
State
Zip
23233-7460
Phone Number
804-285-4115
Fax Number
804-673-6714
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
0101043924 (Virginia)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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