Individual provider · Type 1 NPI

Brie A. Waddington, PA

Medical Physician Assistant · Charlottesville, VA

NPI number 1861250722 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-2613

Fax (434) 924-9295

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X0110010356 (VA)
Medical Physician Assistant Primary 363AM0700X0110010356 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1861250722

Brie A. Waddington, PA's National Provider Identifier is 1861250722, issued on Mar 6, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlottesville, VA. The record was last updated on Oct 16, 2024.