Individual
DR. EDWIN WORTHAM V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8720 STONY POINT PKWY STE 135, RICHMOND, VA 23235-0017
(804) 272-8040
(804) 272-7344
Mailing address
8720 STONY POINT PKWY, STE 135, RICHMOND, VA 23235-0017
(804) 272-8040
(804) 272-7344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101047478
VA
207W00000X
Ophthalmology Physician
0101047478
VA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
0101047478
VA
Other
Enumeration date
05/09/2006
Last updated
07/10/2019
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