Individual
DR. BRENDA SUE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 MEMORIAL AVE SUITE 201B, LYNCHBURG, VA 24501
(434) 528-0896
(434) 528-0896
Mailing address
2600 MEMORIAL AVE SUITE 201B, LYNCHBURG, VA 24501
(434) 528-0896
(434) 528-0896
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101055485
VA
Other
Enumeration date
01/16/2006
Last updated
02/27/2024
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