Individual
MR. JASON SCOTT BURNS MCLAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11916 BLAIRMONT PL, GLEN ALLEN, VA 23059-5399
(352) 239-1777
Mailing address
11916 BLAIRMONT PL, GLEN ALLEN, VA 23059-5399
(352) 239-1777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256116600
—
FL
01
—
47249
BCBS - FL
FL
01
—
P00466892
RR MEDICARE
FL
Enumeration date
11/24/2006
Last updated
05/01/2024
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