# CHARLOTTESVILLE WELLNESS CENTER FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013954544
- **Authorized official:** DR. SAMUEL D CAUGHRON MD (OWNER)
- **Authorized official phone:** (434) 977-3140

## Contact information

- **Practice address:** 901 PRESTON AVE, SUITE 300, CHARLOTTESVILLE, VA 22903-4491
- **Practice address phone:** (434) 977-3140
- **Practice address fax:** (434) 977-4984
- **Mailing address:** 901 PRESTON AVE, SUITE 300, CHARLOTTESVILLE, VA 22903-4491
- **Mailing address phone:** (434) 977-3140
- **Mailing address fax:** (434) 977-4984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 08/22/2020