Individual
JERRY ALAN MCQUAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT. D.O.
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 612-7277
Mailing address
4043 NORTHRIDGE ST, WILLIAMSBURG, VA 23185-3875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102204139
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0102204139
VA
Other
Enumeration date
10/02/2006
Last updated
04/03/2024
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