Jerry Lynn Mothershead, M.D. Valid NPI

Individual provider · Emergency Medicine Physician · Norfolk, VA

NPI

1871657171

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

0101040838 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-20

Last updated

2007-07-08