Individual
DR. WILLIAM MCCONAHEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HARRIS DRIVE, KILMARNOCK, VA 22482
(804) 435-8000
Mailing address
5220 BELFORT RD 130, JACKSONVILLE, FL 32256-6017
(904) 446-3674
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101025294
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440555
ANTHEM BCBS
VA
01
—
930119390
RR MEDICARE
VA
Enumeration date
08/29/2006
Last updated
09/10/2015
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