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Organization
WYNDHURST FAMILY MEDICINE, P.C.
Active
Organization
WYNDHURST FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG JOHN PETRY M.D. (PRESID)
(434) 237-3664
Entity
Organization
Contact information
Practice address
102 ARCHWAY CT, LYNCHBURG, VA 24502-2889
(434) 237-3664
(434) 237-3711
Mailing address
102 ARCHWAY CT, LYNCHBURG, VA 24502-2889
(434) 237-3664
(434) 237-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101059194
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146316
ANTHEM
VA
Enumeration date
10/19/2007
Last updated
10/19/2007
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