# ANEW DIVINE HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1124719232
- **Authorized official:** AMY D NORRIS (PRESIDENT/OWNER)
- **Authorized official phone:** (804) 658-8584

## Contact information

- **Practice address:** 2913 RIVER RD W STE K, GOOCHLAND, VA 23063-3263
- **Practice address phone:** (804) 658-8584
- **Mailing address:** PO BOX 82, GOOCHLAND, VA 23063-0082
- **Mailing address phone:** (804) 658-8584

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2023
- **Last updated:** 11/17/2023