Individual provider · Type 1 NPI

Samuel John Maccormick, M.B.B.CH, B.A.O

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1871020644 Active

Practice location

1215 Lee Street
Charlottesville, VA 22908

Call (434) 924-9508 Map

Fax (434) 982-0019

Mailing address

PO Box 800136
Charlottesville, VA 22908

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871020644

Samuel John Maccormick, M.B.B.CH, B.A.O's National Provider Identifier is 1871020644, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on May 11, 2017.