Individual
DR. RODERICK R MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4041 TAYLOR RD, SUITE G, CHESAPEAKE, VA 23321-5536
(757) 484-5828
(757) 484-4371
Mailing address
4041 TAYLOR RD, SUITE G, CHESAPEAKE, VA 23321-5536
(757) 484-5828
(757) 484-4371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101035767
VA
Other
Enumeration date
11/09/2006
Last updated
04/27/2011
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