Healthcare Provider Details

I. General information

NPI: 1821040098
Provider Name (Legal Business Name): PULMONARY AND SLEEP CONSULTANTS OF WILLIAMSBURG, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 KINGS WAY
WILLIAMSBURG VA
23185-2505
US

IV. Provider business mailing address

120 KINGS WAY
WILLIAMSBURG VA
23185-2507
US

V. Phone/Fax

Practice location:
  • Phone: 757-645-3460
  • Fax: 757-645-3481
Mailing address:
  • Phone: 757-645-3460
  • Fax: 757-645-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateVA

VIII. Authorized Official

Name: MRS. DENISE C. HILL
Title or Position: PRACTICE MANAGER
Credential: R.N.
Phone: 757-645-3460