MEDICARE: MAURA REDINGTON MCLAUGHLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101239655	VA

General Provider Information

NPI Number	:	1790705309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA REDINGTON MCLAUGHLIN MD

Provider Business Mailing Address
First Line	:	500 RAY C HUNT DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-2981
Country	:	US
Telephone Number	:	434-980-6140
Fax Number	:	434-972-4266

Provider Business Practice Location Address
First Line	:	UVA STONEY CREEK FAMILY PRACTICE
Second Line	:	2871 ROCKFISH VALLEY HIGHWAY
City	:	NELLYSFORD
State	:	VA
Zip	:	22958
Country	:	US
Telephone Number	:	434-361-2555
Fax Number	:	434-924-1984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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