Individual
PAMELA CASE WRATCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7493 RIGHT FLANK RD, SUITE 400, MECHANICSVILLE, VA 23116
(804) 559-2916
(804) 559-9206
Mailing address
7493 RIGHT FLANK RD, SUITE 400, MECHANICSVILLE, VA 23116
(804) 559-2916
(804) 559-9206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010013534
—
VA
01
—
54-2112114
TAX ID
—
Enumeration date
04/21/2006
Last updated
10/01/2010
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