# PRIS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brenda Waller Sole Member
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982930673
- **Authorized official:** DR. BRENDA SUE WALLER MD (CEO)
- **Authorized official phone:** (434) 528-0896

## Contact information

- **Practice address:** 1935 THOMSON DR, LYNCHBURG, VA 24501-1008
- **Practice address phone:** (434) 528-0896
- **Practice address fax:** (434) 528-0898
- **Mailing address:** 1935 THOMSON DR, LYNCHBURG, VA 24501-1008
- **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 |

## Other

- **Enumeration date:** 10/30/2009
- **Last updated:** 10/30/2009