Individual
DR. MATTHEW WAYNE TATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2832 CANDLERS MOUNTAIN RD, LYNCHBURG, VA 24502-2287
(434) 239-3949
(434) 239-6982
Mailing address
2832 CANDLERS MOUNTAIN RD, LYNCHBURG, VA 24502-2287
(434) 239-3949
(434) 239-6982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037129
VA
208600000X
Surgery Physician
0102037129
VA
Other
Enumeration date
08/22/2006
Last updated
08/28/2014
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