# WZD MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blossom Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922510361
- **Authorized official:** RUTH ANN WATSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (757) 819-7547

## Contact information

- **Practice address:** 801 GREENBRIER PKWY STE B, CHESAPEAKE, VA 23320-3822
- **Practice address phone:** (757) 819-7547
- **Practice address fax:** (757) 842-6570
- **Mailing address:** 801 GREENBRIER PKWY STE B, CHESAPEAKE, VA 23320-3822
- **Mailing address phone:** (757) 819-7547
- **Mailing address fax:** (757) 842-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 01/04/2022