Individual
SARA N MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
PO BOX 1774, CHESAPEAKE, VA 23327-1774
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101246736
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386805760
—
VA
01
—
P00850302
RR MEDICARE
VA
01
—
VAA100382
MEDICARE
VA
Enumeration date
06/19/2008
Last updated
03/31/2023
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