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Organization

WIGGINGTON ROAD FAMILY PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN M. PODOSEH M.D. (MEDICAL DOCTOR)
(434) 385-7578
Entity
Organization

Contact information

Practice address
113 WIGGINGTON ROAD, LYNCHBURG, VA 24502
(434) 385-7578
(434) 385-9756
Mailing address
113 WIGGINGTON ROAD, LYNCHBURG, VA 24502
(434) 385-7578
(434) 385-9756

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010386250
VA
01
012828
ANTHEM FOR ALAN PODOSEK
VA
01
1205851581
INDIV NPI ALAN PODOSEK,MD
VA
01
1205921210
INDIVIDUAL NPI CHRISTIAN
VA
01
1356366645
INDIV NPI HARB RANK, MD
VA
01
214335
ANTHEM FOR HARB RANK, MD
VA
01
249893
ANTHEM BCBS CHRISTIAN
VA
05
5642876
VA
05
5674808
VA
Enumeration date
10/05/2006
Last updated
06/23/2010
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