Individual
B. GAIL MACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-9333
(434) 243-6086
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
0101055789
VA
207ZC0006X
Clinical Pathology Physician
0101055789
VA
Other
Enumeration date
11/07/2006
Last updated
02/11/2016
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