Individual
MS. TINA KNIGHT WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2901 LANGHORNE RD, LYNCHBURG, VA 24501-1719
(434) 947-3954
Mailing address
2091 LANGHORNE RD, LYNCHBURG, VA 24501-1428
(434) 947-3954
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0110001558
VA
363A00000X
Physician Assistant
Primary
0110001558
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097991
ANTHEM
VA
Enumeration date
01/09/2007
Last updated
11/09/2021
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