Individual
DR. MICHAEL JOSEPH JAVERNICK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SENTARA CIR STE 450, WILLIAMSBURG, VA 23188-5725
(757) 345-4600
(757) 345-4601
Mailing address
400 SENTARA CIR STE 450, WILLIAMSBURG, VA 23188-5725
(757) 345-4600
(757) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101242377
VA
207Q00000X
Family Medicine Physician
Primary
0101242377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922270362
MEDICARE
VA
Enumeration date
03/26/2008
Last updated
11/04/2024
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