Individual
JAMES H. WALTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7002B LITTLE RIVER TPK, ANNANDALE, VA 22003-3200
(703) 256-2626
(703) 354-3226
Mailing address
7002B LITTLE RIVER TPK, ANNANDALE, VA 22003-3200
(703) 256-2626
(703) 354-3226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000145
VA
Other
Enumeration date
11/02/2006
Last updated
06/17/2010
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