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NPI Code Detail

MEDICARE: FAMILY CARE OF WILLIAMSBURG

MEDICARE: FAMILY CARE OF WILLIAMSBURG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist01049807VA

General Provider Information

NPI Number : 1821020306
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE OF WILLIAMSBURG
Provider Business Mailing Address
First Line : 117 BULIFANTS BLVD
Second Line : SUITE A
City : WILLIAMSBURG
State : VA
Zip : 23188-5712
Country : US
Telephone Number : 757-565-5440
Fax Number : 757-565-5451
Provider Business Practice Location Address
First Line : 117 BULIFANTS BLVD
Second Line : SUITE A
City : WILLIAMSBURG
State : VA
Zip : 23188-5712
Country : US
Telephone Number : 757-565-5440
Fax Number : 757-565-5451
Authorized Official
Title or Position : DIRECTOR
Name : MRS. MONIQUE N SESSLER
Credential : MD
Telephone Number : 757-565-5440
Provider Enumeration Date : 07/07/2006
Last Update Date : 10/25/2007

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Directions to “FAMILY CARE OF WILLIAMSBURG ” Practice Location

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