Individual
BILLIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 NOR DAN DR, DANVILLE, VA 24540-1612
(434) 836-5883
Mailing address
PO BOX 4018, DANVILLE, VA 24540-0101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001121009
VA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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