Organization
VIRGINIA CENTER FOR PREVENTATIVE MEDICINE, LL
Active
Other names
Virginia Center for Preventative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STEWART (CEO)
(704) 995-1168
Entity
Organization
Contact information
Practice address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6804
Mailing address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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