Individual
TIMOTHY SCOTT WRATCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7493 RIGHT FLANK RD, SUITE 400, MECHANICSVILLE, VA 23116
(804) 559-2916
(804) 559-9206
Mailing address
7493 RIGHT FLANK RD, SUITE 400, MECHANICSVILLE, VA 23116
(804) 559-2916
(804) 559-9206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234718
VA
208000000X
Pediatrics Physician
0101234718
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010013551
—
VA
Enumeration date
04/25/2006
Last updated
10/01/2010
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