# WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olde Towne Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871583393
- **Authorized official:** MRS. DENISE A. BOWLES (BUSINESS MANAGER)
- **Authorized official phone:** (757) 259-3254

## Contact information

- **Practice address:** 5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
- **Practice address phone:** (757) 259-3254
- **Practice address fax:** (757) 220-1953
- **Mailing address:** 5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
- **Mailing address phone:** (757) 259-3254
- **Mailing address fax:** (757) 220-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 0401002784 | VA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 04/02/2008
