| Dr John R Wine, | |
|
412 Namozine Street, Burkeville, VA 23922 | |
| (434) 767-4822 | |
| (434) 767-2211 |
| Full Name | Dr John R Wine |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 412 Namozine Street, Burkeville, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427040112 | NPI | - | NPPES |
| 345648 | Other | VA | ANTHEM |
| 1108312 | Other | VA | CIGNA |
| 1427040112 | Medicaid | VA | |
| 4468872 | Other | VA | AETNA |
| 5633419 | Medicaid | VA | |
| 61459602 | Other | VA | BLACK LUNG/FECA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101029100 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Wine, Po Box 927, White Sulphur Springs, WV 24986-2373 Ph: (304) 536-5030 | Dr John R Wine, 412 Namozine Street, Burkeville, VA 23922 Ph: (434) 767-4822 |
Dr. Mary B. Donovan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Namozine Street, Burkeville, VA 23922 Phone: 434-767-5511 | |
Vilma Camomot Witten, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5001 E Patrick Henry Hwy, Piedmont Geriatric Hospital, Burkeville, VA 23922 Phone: 434-767-4535 Fax: 434-767-4404 |