Recorian Wellness Services, LLC
Family Medicine, Adult Medicine in Mechanicsville, VA. Organization (NPI-2).
NPI number1982209284
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1982209284
- Entity type
- Organization (NPI-2)
- Legal business name
- Recorian Wellness Services, LLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
Practice location
8324 Bell Creek Rd Ste 100Mechanicsville, VA 23116-3848
Phone 804-522-5500 · Fax 804-522-5501
Mailing address
1721 Stevens StreetHenrico, VA 23231
Phone 804-690-3836 · Fax 804-522-5500
Authorized official
Herbert Jerome Cummings
Ceo
8046903836
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