Individual
DR. WAIVELLE ALEXANDER FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BRIDGE ST, STE 201, DANVILLE, VA 24541
(434) 799-4488
(434) 773-6977
Mailing address
109 BRIDGE ST, STE 201, DANVILLE, VA 24541
(434) 799-4488
(434) 773-6977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116039036
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2024
Last updated
05/22/2024
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