Organization
ANEW DIVINE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY D NORRIS (PRESIDENT/OWNER)
(804) 658-8584
Entity
Organization
Contact information
Practice address
2913 RIVER RD W STE K, GOOCHLAND, VA 23063-3263
(804) 658-8584
Mailing address
PO BOX 82, GOOCHLAND, VA 23063-0082
(804) 658-8584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
11/17/2023
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