Most Relevant Information
Provider Data
| NPI Number: | 1003583352 |
| Provider Name: | DREW COMPTON THACH |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0110-008067 |
Most Important Dates
| Enumeration Date: | 08/25/2021 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
201 LEW DEWITT BLVD STE A
WAYNESBORO
VA
229801663
Practice Location Phone/Fax
| Phone: | 5402457940 |
| Fax: |
Provider Mailing Location
1429 BALLARD DR
CROZET
VA
229329419
Provider Mailing Phone/Fax
| Phone: | 4349816268 |
| Fax: |