Individual
PAIGE C MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5899 BREMO RD, SUITE 100, RICHMOND, VA 23226-1935
(804) 288-8512
Mailing address
1115 BOULDERS PKWY 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005028
VA
363AM0700X
Medical Physician Assistant
0110005028
VA
363AS0400X
Surgical Physician Assistant
0110005028
VA
Other
Enumeration date
07/23/2015
Last updated
09/12/2020
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