Individual
DR. JANICE A MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Mailing address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200101474
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
0101261562
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1302X
BCBS
NC
01
—
34D1040854
CLIA
NC
05
—
891302X
—
NC
01
—
P00246669
RAILROAD
NC
Enumeration date
10/24/2006
Last updated
04/28/2017
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