Individual
BRIE A WADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2613
(434) 924-2231
(434) 924-9295
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110010356
VA
363AM0700X
Medical Physician Assistant
Primary
0110010356
VA
Other
Enumeration date
03/06/2024
Last updated
10/16/2024
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