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Individual

WAYNE B BATCHELOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101266323
VA
207RC0000X
Cardiovascular Disease Physician
ME84254
FL
207RI0011X
Interventional Cardiology Physician
Primary
0101266323
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00955072A
GA
05
009981530
AL
01
01103
UNIVERSAL HEALTH CARE
01
060066864
RR MEDICARE
01
15370
BLUE CROSS AND BLUE SHIEL
FL
05
264569600
FL
01
GRP FL 23952B
BEECH STREET/CAPP CARE
FL
Enumeration date
05/23/2005
Last updated
04/05/2022
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