Individual
MACK DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3548, AUGUSTA, GA 30914-3548
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102206152
VA
2086S0102X
Surgical Critical Care Physician
Primary
0102206152
VA
Other
Enumeration date
04/14/2009
Last updated
05/25/2023
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