Individual
MARC GAINES
Active
Individual
MARC GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027364
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005801338
—
VA
01
—
27260
SENTARA/OPTIMA
VA
01
—
437513
ANTHEM
VA
01
—
541595397
AETNA
VA
Enumeration date
02/10/2006
Last updated
12/02/2014
Update your record
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