Individual
DR. MALCOLM LUMSDEN CLARK MACPHERSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STEPPINGSTONE SQ, CHESAPEAKE, VA 23320-2517
(757) 424-6726
(757) 424-8207
Mailing address
2100 STEPPINGSTONE SQ, CHESAPEAKE, VA 23320-2517
(757) 424-6726
(757) 424-8207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101034116
STATE LICENCE NUMBER
VA
05
—
56-0605-5
—
VA
Enumeration date
09/12/2005
Last updated
03/07/2023
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