Most Relevant Information
Provider Data
| NPI Number: | 1003833757 |
| Provider Name: | MICHELE WADSWORTH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 0101049021 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2117 MCCOMAS WAY
STE. 103
VIRGINIA BEACH
VA
234563908
Practice Location Phone/Fax
| Phone: | 7576686715 |
| Fax: | 7576686680 |
Provider Mailing Location
2117 MCCOMAS WAY
STE. 103
VIRGINIA BEACH
VA
234563908
Provider Mailing Phone/Fax
| Phone: | 7576686715 |
| Fax: | 7576686680 |
Suggested EMR
Pediatrics EMR