Organization
UPPER MATTAPONI INDIAN TRIBE
Active
Other names
Aylett Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FAMILY TUPPONCE (DIRECTOR)
(804) 347-4109
Entity
Organization
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 769-2015
Mailing address
13476 KING WILLIAM RD, KING WILLIAM, VA 23086-3401
(804) 769-0041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/30/2021
Last updated
05/13/2026
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