Individual
MICHAEL D MATHERLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12454 HARTLEY ST, STONY CREEK, VA 23882-3302
(434) 246-6100
(434) 246-6137
Mailing address
12454 HARTLEY ST, STONY CREEK, VA 23882-3302
(434) 246-6100
(434) 246-6137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230392
VA
Other
Enumeration date
01/31/2006
Last updated
08/29/2007
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