Individual
JACOB WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-0996
(804) 628-0384
Mailing address
PO BOX 19734, RICHMOND, VA 23291-0001
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101269012
VA
Other
Enumeration date
05/10/2017
Last updated
08/26/2020
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