Provider Demographics
NPI:1407910037
Name:MAGNESS, ALFRED P II (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:P
Last Name:MAGNESS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 RICHMOND CRES
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1143
Mailing Address - Country:US
Mailing Address - Phone:757-423-8560
Mailing Address - Fax:
Practice Address - Street 1:6316 RICHMOND CRES
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-1143
Practice Address - Country:US
Practice Address - Phone:757-423-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031838207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery