|
| |
|
1305 13th St Suite D-1 Waynesboro VA 22980-3631 | |
| (540) 949-7246 | |
| (540) 946-4912 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1305 13th St, Waynesboro, Virginia |
| Authorized Official Name and Position | Dierdre Louise Terlep (OWNER/DENTIST) |
| Authorized Official Contact | 5409497246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1305 13th St Suite D-1 Waynesboro VA 22980-3631 Ph: (540) 949-7246 | 1305 13th St Suite D-1 Waynesboro VA 22980-3631 Ph: (540) 949-7246 |
| NPI Number | 1487789202 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487789202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Shenandoah Valley Gastroenterology Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1305 13th St, Suite A-2, Waynesboro, VA 22980 Phone: 540-246-5515 | |