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Organization

WZD MANAGEMENT LLC

Active
Other names
Blossom Pain Management
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH ANN WATSON (EXECUTIVE DIRECTOR)
(757) 819-7547
Entity
Organization

Contact information

Practice address
801 GREENBRIER PKWY STE B, CHESAPEAKE, VA 23320-3822
(757) 819-7547
(757) 842-6570
Mailing address
801 GREENBRIER PKWY STE B, CHESAPEAKE, VA 23320-3822
(757) 819-7547
(757) 842-6570

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
10/25/2017
Last updated
01/04/2022
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