Provider Demographics
NPI:1962466334
Name:MAGEE, ANNA M (MD)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:M
Last Name:MAGEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:600 PETER JEFFERSON PARKWAY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8835
Mailing Address - Country:US
Mailing Address - Phone:434-984-2400
Mailing Address - Fax:434-984-1147
Practice Address - Street 1:600 PETER JEFFERSON PARKWAY
Practice Address - Street 2:SUITE 230
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8835
Practice Address - Country:US
Practice Address - Phone:434-984-2400
Practice Address - Fax:434-984-1147
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101051293207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005900794Medicaid
VA070000233Medicare ID - Type Unspecified
F89173Medicare UPIN