Organization
POWHATAN COUNTY BOARD OF SUPERVISORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WALLACE (CAPTAIN)
(804) 598-5646
Entity
Organization
Contact information
Practice address
3834 OLD BUCKINGHAM RD, POWHATAN, VA 23139-7051
(804) 598-5612
Mailing address
3834 OLD BUCKINGHAM RD, POWHATAN, VA 23139-7051
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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