=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225772528
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET LANG MCANDREW MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2022
-----------------------------------------------------
Last Update Date | 07/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8260 ATLEE RD
-----------------------------------------------------
City | MECHANICSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23116-1844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-828-0996
-----------------------------------------------------
Fax | 804-828-0648
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8260 ATLEE RD
-----------------------------------------------------
City | MECHANICSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23116-1844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-764-6000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number | 0101285301
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------