Individual
JERICO B CAIRNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2047
Mailing address
PO BOX 800136, CHARLOTTESVILLE, VA 22908-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101247786
WA
390200000X
Student in an Organized Health Care Education/Training Program
0116019768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245435924
—
MT
05
—
1245435924
—
VA
05
—
1245435924
—
WA
Enumeration date
06/20/2007
Last updated
08/17/2011
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