Individual
DR. TIMOTHY WAYNE BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D,
Contact information
Practice address
125 EXECUTIVE DR, STE J, DANVILLE, VA 24541-4155
(434) 793-0044
(434) 792-8864
Mailing address
125 EXECUTIVE DR, STE J, DANVILLE, VA 24541-4155
(434) 793-0044
(434) 792-8864
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101046457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6060641
—
VA
Enumeration date
06/01/2005
Last updated
05/19/2010
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