Individual
DR. ELAINE C MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Mailing address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101057755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045122000
—
WV
05
—
005616557
—
VA
01
—
020233
SOUTHERN HEALTH
VA
01
—
139296
ANTHEM BCBS
VA
01
—
2119587
MAMSI
VA
01
—
36996
SENTARA
VA
01
—
502800
NCPPO
VA
01
—
C00075
MEDICARE GROUP
VA
Enumeration date
07/26/2005
Last updated
09/03/2020
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