# VIRGINIA CENTER FOR PREVENTATIVE MEDICINE, LL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virginia Center for Preventative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134745763
- **Authorized official:** MR. WILLIAM STEWART (CEO)
- **Authorized official phone:** (704) 995-1168

## Contact information

- **Practice address:** 11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
- **Practice address phone:** (804) 888-6800
- **Practice address fax:** (804) 888-6804
- **Mailing address:** 11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
- **Mailing address phone:** (804) 888-6800
- **Mailing address fax:** (804) 888-6804

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020