Organization
KING & QUEEN FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B GWATHMY MD (ADMINISTRATOR)
(804) 769-0103
Entity
Organization
Contact information
Practice address
142 SMITHFIELD ROAD, ST STEPHNS CH, VA 23148-0130
(804) 769-0103
(804) 769-0508
Mailing address
PO BOX 130, ST STEPHNS CH, VA 23148-0130
(804) 769-0103
(804) 769-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
06/01/2011
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