Healthcare Provider Details

I. General information

NPI: 1801841069
Provider Name (Legal Business Name): MARCIA JEAN MCALPINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARCIA JEAN GORDON MD

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 OLD IVY WAY SUITE 201
CHARLOTTESVILLE VA
22903-4896
US

IV. Provider business mailing address

PO BOX 75268
BALTIMORE MD
21275-5268
US

V. Phone/Fax

Practice location:
  • Phone: 434-244-4550
  • Fax: 434-244-4563
Mailing address:
  • Phone: 434-982-7794
  • Fax: 434-982-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101049181
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: