Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101-238800 | VA |
NPI | 1013021716 |
---|---|
Provider Name | Dr. Tracy Stroma Mcneish |
First Address | Richmond, VA 23233-1473 |
Second Address | Richmond, VA 23233-1473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 17/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
181796 | ANTHEM - HENRICO COUNTY (01) | |
181868 | ANTHEM - HANOVER COUNTY (01) | |
329785 | SOUTHERN HEALTH (01) | |
6730442 | (05) | VA |