Individual
DR. WAYNE E PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2875 BARN RAOD, SUITE 200, CHRISTIANSBURG, VA 24073
(540) 639-9651
(540) 639-6538
Mailing address
2875 BARN RAOD, SUITE 200, CHRISTIANSBURG, VA 24073
(540) 639-9651
(540) 639-6538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101044399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425136
SOUTHERN HEALTH
VA
Enumeration date
10/19/2006
Last updated
11/29/2007
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