Individual
DR. SEAN M MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, HUNTER HOLMES MCGUIRE MEDICAL CENTER: SPINAL CORD INJUR, RICHMOND, VA 23249
(410) 925-8145
Mailing address
1201 BROAD ROCK BLVD, HUNTER HOLMES MCGUIRE MEDICAL CENTER: SPINAL CORD INJUR, RICHMOND, VA 23249
(410) 925-8145
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101259517
VA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
0101259517
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116022535
VA
Other
Enumeration date
06/11/2010
Last updated
07/18/2016
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