Individual
GAVIN J. MACCLEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
545 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 243-5432
(434) 243-5460
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002412
VA
Other
Enumeration date
11/17/2006
Last updated
08/10/2023
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