Organization
ST. MARY'S HEALTH WAGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA HILL (CLINICAL DIRECTOR)
(276) 337-0331
Entity
Organization
Contact information
Practice address
5628 PATRIOT DRIVE, WISE, VA 24293
(276) 328-8850
Mailing address
PO BOX 7070, WISE, VA 24293-7070
(276) 328-8850
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
08/12/2024
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