Provider Demographics
NPI:1366406316
Name:GWATHMEY, FRANK WINSTON (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WINSTON
Last Name:GWATHMEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6160 KEMPSVILLE CIRCLE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-461-8300
Mailing Address - Fax:757-461-8967
Practice Address - Street 1:6160 KEMPSVILLE CIRCLE
Practice Address - Street 2:SUITE 102A
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:757-461-8300
Practice Address - Fax:757-461-8967
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027381207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB09315Medicare UPIN
VA00V195N00Medicare ID - Type Unspecified