Organization
PTC WELLNESS CENTERS BWXT
Active
Parent organization
PTC WELLNESS CENTERS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PTC WELLNESS CENTERS PC
Authorized official
MATTHEW TATOM D.O. (PRESIDENT)
(434) 455-1550
Entity
Organization
Contact information
Practice address
1570 MT. ATHOS RD., LYNCHBURG, VA 24504
(434) 522-5006
(434) 522-5991
Mailing address
PO BOX 785 MAIL STOP 66, LYNCHBURG, VA 24505
(434) 522-5006
(434) 522-5991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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