Individual
DR. DWIGHT STEPHEN OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-6254
Mailing address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-6254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101028991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006094546
—
VA
Enumeration date
06/13/2006
Last updated
01/10/2012
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