Organization
DOGWOOD LIFESTYLE MEDICINE PLC
Active
Other names
Dogwood Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN YODER NP-C (NURSE PRACTITIONER)
(540) 212-9525
Entity
Organization
Contact information
Practice address
4414 LAFAYETTE BLVD STE 239B, FREDERICKSBURG, VA 22408-4271
(540) 212-9525
(540) 779-7696
Mailing address
4414 LAFAYETTE BLVD STE 239B, FREDERICKSBURG, VA 22408-4271
(540) 212-9525
(540) 779-7696
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
08/21/2022
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