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Individual

MARK DOUGLAS MACGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1330 OAK LN, STE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870
Mailing address
1330 OAK LN, STE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002898
VA

Other

Enumeration date
09/14/2006
Last updated
10/22/2008
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