Windsor Medicine, PLLC
Organization Active NPI Primary Care Clinic/Center · Windsor, VA
NPI 1114174653 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1114174653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 0101232665 (VA)
- Legal business name
- WINDSOR MEDICINE, PLLC
- Practice address
- 70 E Windsor Blvd
Windsor, VA 23487-9443 - Phone
- (757) 430-8712
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Bryan D Mack, MD
- Title
- Member
- Phone
- (757) 430-8712
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0101232665 | VA | Yes |
Addresses
Primary practice location
70 E Windsor Blvd
Windsor, VA 23487-9443
Mailing address
2601 Springhaven Dr
Virginia Beach, VA 23456-3995
Phone (757) 430-8712
Other providers in Windsor, VA
- Stephen Maddock MD PHD PLC
- Traveling Mercy Care,LLC
- Virginia CVS Pharmacy LLC
- Alexa Weisman
- Windsor Facility Operations, LLC
- Windsor Pharmacy, Inc.
- Nathan Wolfe
All providers in Windsor, VA · Primary Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.