Individual
MARK MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110002668
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528122280
—
VA
01
—
P00686679
MEDICARE RAILROAD
VA
Enumeration date
12/20/2006
Last updated
11/23/2012
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