Crown And Soul Primary Care And Wellness Center
Clinic/Center, Primary Care in Williamsburg, VA. Organization (NPI-2).
NPI number1003545997
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1003545997
- Entity type
- Organization (NPI-2)
- Legal business name
- Crown And Soul Primary Care And Wellness Center
- Organization subpart
- No
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
7151 Richmond RdWilliamsburg, VA 23188-7234
Phone 757-561-8014
Mailing address
3515 Winslow CtToano, VA 23168-9358
Phone 757-561-8014
Authorized official
Nicholas Michael Morgan
Ceo
7575618014
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