# VIRGINIA VEIN AND WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1275181422
- **Authorized official:** REBEKAH ATWELL (CREDENTIALING)
- **Authorized official phone:** (276) 783-1827

## Contact information

- **Practice address:** 20304 TIMBERLAKE RD, LYNCHBURG, VA 24502-7222
- **Practice address phone:** (540) 798-8477
- **Mailing address:** 1048 TERRACE DR, MARION, VA 24354-4138
- **Mailing address phone:** (276) 783-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 04/23/2020
