DR. John R Wine

NPI #1427040112 in Burkeville, Virginia

Provider Information

NPI Number: 1427040112
Entity Type: Individual
Name: DR. John R Wine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2005
Last Updated: Oct 15, 2011

Practice Location

Address: 412 NAMOZINE STREET
City: Burkeville
State: Virginia
ZIP Code: 23922
Phone: (434) 767-4822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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