NPI | 1578155610 |
---|---|
Doing Business As | TUCK WORKWELL |
Entity Type | Organization |
Authorized Contact | HANNAH SHELTON Billing Supervisor 540-951-6900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 202K00000X |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-02-10 |
Last Update Date | 2024-12-12 |