Healthcare Provider Details
I. General information
NPI: 1841512068
Provider Name (Legal Business Name): HEALTHWORKS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2010
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 NATIONWIDE DR
LYNCHBURG VA
24502-4272
US
IV. Provider business mailing address
125 NATIONWIDE DR
LYNCHBURG VA
24502-4272
US
V. Phone/Fax
- Phone: 434-200-6933
- Fax: 434-200-6934
- Phone: 434-200-6933
- Fax: 434-200-6934
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083A0100X |
| Taxonomy | Aerospace Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DUNCAN
G
HUGHES
Title or Position: MEDICAL DIRECTOR
Credential: MD, MPH
Phone: 434-200-6933