Individual
SALLY- ANN TRACY MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249033
VA
207R00000X
Internal Medicine Physician
A95180
CA
208M00000X
Hospitalist Physician
0101249033
VA
208M00000X
Hospitalist Physician
A95180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003915851
—
VA
Enumeration date
09/21/2006
Last updated
11/22/2023
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