Individual
DR. THOMAS L SCHILDWACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 E JEFFERSON ST, STE 102, CHARLOTTESVILLE, VA 22902-5376
(434) 971-8004
(434) 977-6613
Mailing address
914 E JEFFERSON ST, STE 102, CHARLOTTESVILLE, VA 22902-5376
(434) 971-8004
(434) 977-6613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101028173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006498795
—
VA
01
—
006779
ANTHEM SERV HEALTHKEEPERS
VA
05
—
006779
—
VA
05
—
10560
—
VA
01
—
14112
COMMUNITY HEALTH SERVICES
VA
01
—
163443
SOUTHERN HEALTH
VA
Enumeration date
06/13/2006
Last updated
07/30/2008
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