Individual provider · Type 1 NPI
John Edward Mack, PA
Surgical Physician Assistant · Fishersville, VA
NPI number
1619918968
Active
Practice location
70 Medical Center Cir Ste 213
Fishersville, VA 22939-2273
Fax (540) 245-7710
Mailing address
1301 Ladd Rd
Waynesboro, VA 22980-7426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 006239 (NY) |
| Surgical Physician Assistant | 363AS0400X | 006239 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | 0110006808 (VA) |
Surgical Physician Assistant: Definition to come...
7 other providers at this address
- Amani D. Politano, MDVascular Surgery Physician Fishersville, VA NPI 1326207739
- Chelsea Marie Hutchinson, MDSurgery Physician Fishersville, VA NPI 1083034284
- Christopher J. Porter, MDSurgery Physician Fishersville, VA NPI 1679521082
- Hannah Elizabeth Stephenson, PA-CPhysician Assistant Fishersville, VA NPI 1700540093
- Kristin C. Turza, MDSurgery Physician Fishersville, VA NPI 1194929059
- Mark Andres, MDSurgery Physician Fishersville, VA NPI 1700080249
- Michael David Flam, DOSurgery Physician Fishersville, VA NPI 1396729679
About NPI 1619918968
John Edward Mack, PA's National Provider Identifier is 1619918968, issued on Jun 9, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fishersville, VA. The record was last updated on Feb 17, 2025.