Individual
MR. ROGER NEWELL WHITEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CS
Contact information
Practice address
1152 CRYSTAL LAKE DR, VIRGINIA BEACH, VA 23451-3850
(757) 635-5724
Mailing address
1152 CRYSTAL LAKE DR, VIRGINIA BEACH, VA 23451-3850
(757) 635-5724
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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