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1407817414
JEFFREY DONALD MCTAVISH
NORFOLK, VA
NPI
1407817414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101231812)
Enumeration Date
2006-03-29
Last Update Date
2019-06-18
Business Address
JEFFREY DONALD MCTAVISH MD
110 KINGSLEY LN
NORFOLK, VA 23505-4617
Phone number: 804-262-6900
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Mailing Address
JEFFREY DONALD MCTAVISH MD
110 KINGSLEY LN STE 305
NORFOLK, VA 23505-4617
Phone number: 757-889-5422
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