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Organization
VIRGINIA CENTER FOR PREVENTATIVE MEDICINE, LL
Active
Organization
VIRGINIA CENTER FOR PREVENTATIVE MEDICINE, LL
Active
Other names
Virginia Center for Preventative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STEWART (CEO)
(704) 995-1168
Entity
Organization
Contact information
Practice address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6804
Mailing address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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