# PRIS,PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brenda Waller , MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891922928
- **Authorized official:** DR. BRENDA SUE WALLER MD (CEO)
- **Authorized official phone:** (434) 528-0896

## Contact information

- **Practice address:** 2600 MEMORIAL AVE, SUITE 201B, LYNCHBURG, VA 24501-2662
- **Practice address phone:** (434) 528-0896
- **Practice address fax:** (434) 528-0898
- **Mailing address:** 2600 MEMORIAL AVE, SUITE 201B, LYNCHBURG, VA 24501-2662
- **Mailing address phone:** (434) 528-0896
- **Mailing address fax:** (434) 528-0898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101055485 | VA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 0101055485 | VA | — |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 01/20/2011