Individual
JOHN A WITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 ERICKSON AVE, HARRISONBURG, VA 22801-8555
(540) 433-3344
(540) 433-0031
Mailing address
1751 ERICKSON AVENUE, HARRISONBURG, VA 22801-9326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005637651
—
VA
01
—
143819
SOUTHERN HEALTH ID#
VA
01
—
400125
ANTHEM ID#
VA
Enumeration date
08/15/2005
Last updated
12/11/2009
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