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Organization
DIAMOND CONSULTING CORPORATION
Active
Organization
DIAMOND CONSULTING CORPORATION
Active
Parent organization
DIAMOND HEALTHCARE CORPORATION
Other names
Associates at The Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAMOND HEALTHCARE CORPORATION
Authorized official
MR. WILLIAM A CARPENTER III (SENIOR VICE PRESIDENT & CFO)
(804) 649-9340
Entity
Organization
Contact information
Practice address
5483 MOORETOWN RD, WILLIAMSBURG, VA 23188-2108
(434) 791-2059
(434) 791-2835
Mailing address
701 E BYRD ST, 15TH FLOOR, RICHMOND, VA 23219-3921
(804) 649-9340
(804) 782-2286
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
09/24/2012
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