Individual
MR. NATHAN WAYNE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 314, FREDERICKSBURG, VA 22401-4467
(540) 374-3200
(540) 374-3210
Mailing address
1101 SAM PERRY BLVD, SUITE 314, FREDERICKSBURG, VA 22401-4467
(540) 374-3200
(540) 374-3210
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110003221
VA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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