Individual
JOHN K MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G46395
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G46395
CA
2085R0204X
Vascular & Interventional Radiology Physician
G46395
CA
Other
Enumeration date
11/29/2005
Last updated
04/23/2026
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