Organization
WELLPATH COMMUNITY CARE CENTERS OF VIRGINIA LLC
Active
Organization
WELLPATH COMMUNITY CARE CENTERS OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC GOLDSTONE (PC OWNER)
(615) 551-6325
Entity
Organization
Contact information
Practice address
11049 WARWICK BLVD, NEWPORT NEWS, VA 23601-3226
(615) 258-8631
Mailing address
1283 MURFREESBORO PIKE, NASHVILLE, TN 37217-2432
(615) 258-8631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/25/2021
Last updated
06/13/2022
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