Organization
WAHOO RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C ALLISON M.D. (CHIEF EXECUTIVE OFFICER)
(804) 435-8539
Entity
Organization
Contact information
Practice address
101 HARRIS RD, KILMARNOCK, VA 22482-3880
(804) 435-8539
Mailing address
3332 NEWLAND CT, TOANO, VA 23168-9373
(804) 435-8539
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2007-01705
NC
Other
Enumeration date
12/04/2012
Last updated
03/10/2015
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