Organization
PHYSICIANS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAYNE TATOM (PHYSICIAN)
(434) 239-3949
Entity
Organization
Contact information
Practice address
2832 CANDLERS MOUNTAIN RD, LYNCHBURG, VA 24502-2287
(434) 239-3949
Mailing address
2832 CANDLERS MOUNTAIN RD, LYNCHBURG, VA 24502-2287
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0102037129
VA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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