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Jerry Mothershead, M.D

NPI 1871657171 · on the registry since 2006 · sole proprietor

Practice

Address
707 Westover Ave
Norfolk, VA 23507
Phone
(757) 627-3876
Fax
(757) 627-3876

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia