Organization
MAWVA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE WILLMOTT (OWNER)
(540) 354-1934
Entity
Organization
Contact information
Practice address
1099 COLONIAL FORT DR, MONTVALE, VA 24122-2989
(540) 947-2903
Mailing address
1099 COLONIAL FORT DR, MONTVALE, VA 24122-2989
(540) 947-2903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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