Individual
DR. JAMES MITCHELL WADDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 A BRIDGE RD, SUFFOLK, VA 23435
(757) 983-2200
(757) 275-9993
Mailing address
3920 A BRIDGE RD, SUFFOLK, VA 23435
(757) 983-2200
(757) 275-9993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101232080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10048052
—
VA
Enumeration date
05/09/2006
Last updated
11/17/2011
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