JERRY LYNN MOTHERSHEAD

NORFOLK, VA
NPI1871657171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: VA  0101040838)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Dr. JERRY LYNN MOTHERSHEAD M.D.
707 WESTOVER AVE
NORFOLK, VA 23507-1622
Phone number: 757-627-3876
Mailing Address
Dr. JERRY LYNN MOTHERSHEAD M.D.
707 WESTOVER AVE
NORFOLK, VA 23507-1622
Phone number: 757-627-3876