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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Agencies Public Health or Welfare

Provider NPI: 1861595357

Organization Information:
Organization Name:  COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Organization is not Subpart
Authorized Official:  CAROL  LIEN  SUPERVISOR  804-966-9640

Practice Location:
12025 COURTHOUSE RD  NEW KENT, VA 23124 US
Tel: 804-966-9640  Fax: 804-966-5210

Business Mailing Address:
12025 COURTHOUSE RD P.O. BOX 86 NEW KENT, VA 23124 US
Tel: 804-966-9640  Fax: 804-966-5210

NPI Information:
NPI: 1861595357
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251K00000XAgencies
Public Health or Welfare

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251K00000X

Type:

Classification:



Definition:



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