NPI 1013341171
Surgical Support Services LLC
Practice location
- Address
- 12439 Walnut Hill Drive, Rockville, VA 23146
- Phone
- (804) 749-4249
- Mailing address
- P.O Box 99, Rockville, VA 23146
Authorised official
- Name
- Prescott Wade Prillaman
- Title
- President
- Phone
- (804) 683-5849
Registered specialties (2)
Surgery Physician
Primary
Surgical Oncology Physician
Registry record
- NPI
- 1013341171
- Entity type
- Organization
- NPI issued
- 26 Aug 2013
- Record last updated
- 26 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.