Individual
JOHN G VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 CROSSINGS BLVD, SUITE 2, PRINCE GEORGE, VA 23875-1400
(804) 452-5800
(804) 452-5801
Mailing address
PO BOX 220, 25892 N. JAMES MADISON HWY, NEW CANTON, VA 23123
(434) 581-3271
(434) 581-1704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101228975
VA
Other
Enumeration date
01/06/2006
Last updated
01/24/2014
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