Individual
JAY A. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 932-5373
(540) 932-5382
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 980-6140
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101044450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006700128
—
VA
Enumeration date
09/29/2006
Last updated
07/08/2007
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