Individual
MR. THEODORE C WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7241 MECKLENBURG DR, WARRENTON, VA 20187-2231
(540) 351-1613
Mailing address
7241 MECKLENBURG DR, WARRENTON, VA 20187-2231
(540) 351-1613
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001552
VA
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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