Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101042665 | VA |
NPI | 1043206238 |
---|---|
Provider Name | Waring Trible JR. |
First Address | Atlanta, GA 30374-5462 |
Second Address | Fredericksburg, VA 22401-7231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 27/01/2022 |