Individual
CLARA JANE TOOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24294 TEAL DRIVE, ABINGDON, VA 24211-6160
(276) 628-8303
(276) 466-4815
Mailing address
24294 TEAL DRIVE, ABINGDON, VA 24211-6160
(276) 628-8303
(276) 466-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101018251
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010180023
—
VA
01
—
179147
BLUE CROSS
VA
01
—
4107171
BLUE CROSS
TN
01
—
P00228647
RR MEDICARE
—
01
—
TN0101
JOHN DEERE
—
Enumeration date
07/15/2006
Last updated
12/16/2011
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