Individual
MARY ANN MCLAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6149
Mailing address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101043445
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833361
—
VA
01
—
930083276
RAILROAD MEDICARE
VA
Enumeration date
05/18/2006
Last updated
01/19/2022
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