Individual
DEBORAH L WEDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 EUCLID AVE, SUITE E17, BRISTOL, VA 24201-3834
(276) 669-8707
(276) 669-9312
Mailing address
135 W RAVINE RD, SUITE 3B, KINGSPORT, TN 37660-3847
(423) 578-4379
(423) 578-4369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101058813
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
493860
MEDICARE GROUP NUMBER
—
Enumeration date
07/07/2006
Last updated
08/07/2007
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