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Individual

MR. CARL WAYNE EAST III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2542 LANGHORNE RD, LYNCHBURG, VA 24501-1602
(434) 200-5297
Mailing address
411 QUAIL HOLLOW DR, FOREST, VA 24551-1029
(434) 941-8142

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009765
VA

Other

Enumeration date
10/10/2023
Last updated
01/06/2024
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