Individual
RONALD WAYNE ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 KNELLS RIDGE BLVD, SUITE 100, CHESAPEAKE, VA 23320-4885
(757) 436-1234
(757) 548-3665
Mailing address
108 KNELLS RIDGE BLVD, SUITE 100, CHESAPEAKE, VA 23320-4885
(757) 436-1234
(757) 548-3665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101043473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080050362
RAILROAD MEDICARE
—
01
—
091664
ANTHEM BCBS
VA
01
—
1490608
CIGNA
—
01
—
4230742
AETNA
—
05
—
5662401
—
VA
Enumeration date
03/10/2006
Last updated
07/16/2021
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