Mccormick, Barry Dodd
Mccormick, Barry Dodd is an individual health care provider with primary practice located at 2204 Wilborn Ave , South Boston VA 24592-1645. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mccormick, Barry Dodd can be contacted via phone (434) 517-3123.Contact Information
Primary practice address
2204 Wilborn Ave
South Boston VA 24592-1645
Phone: (434) 517-3123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002391 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002391 | Virginia |
Profile Details
| NPI number | 1952492076 |
|---|---|
| LBN Legal business name | Mccormick, Barry Dodd |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 11th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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