Individual
WALTON K SYDNOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5895
(434) 200-7529
Mailing address
PO BOX 11646, LYNCHBURG, VA 24506-1646
(434) 200-5895
(434) 200-7529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101040738
VA
208M00000X
Hospitalist Physician
Primary
0101040738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110045837
MEDICARE RAILROAD CARRIER
VA
05
—
6061079
—
VA
01
—
P00789319
MEDICARE RAILROAD CARRIER
—
Enumeration date
11/30/2005
Last updated
02/20/2023
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