Individual
VIRGINIA B THELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WESTLAKE RD, HARDY, VA 24101-3967
(540) 721-2689
(540) 721-3623
Mailing address
48 PAR FIVE LN, HARDY, VA 24101-2654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-236931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099595
—
VA
Enumeration date
02/24/2006
Last updated
04/19/2026
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