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Thelbert Waller

NPI 1932082070 · on the registry since 2025 · sole proprietor

Practice

Address
2124 N Main St
Danville, VA 24540
Phone
(434) 710-6788
Organisation at this address
Grind Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia