Upper Mattaponi Indian Tribe

NPI #1750969168 in Aylett, Virginia

Provider Information

NPI Number: 1750969168
Entity Type: Organization
Organization Name: Upper Mattaponi Indian Tribe
Primary Specialty: Family Medicine
Enumeration Date: Mar 30, 2021
Last Updated: Jul 17, 2025

Practice Location

Address: 7864 RICHMOND TAPPAHANNOCK HWY
City: Aylett
State: Virginia
ZIP Code: 23009-3056
Phone: (804) 769-2015

Authorized Official

Name: STEVEN FAMILY TUPPONCE
Title: DIRECTOR
Phone: (804) 347-4109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center	261Q00000X
Family Medicine	207Q00000X	Primary

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