Provider Demographics
NPI:1336564319
Name:MCCAULEY, JOHN FELIX IV (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FELIX
Last Name:MCCAULEY
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9300 DEWITT LOOP FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5285
Mailing Address - Country:US
Mailing Address - Phone:205-789-5368
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP FL 2
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:571-231-2552
Practice Address - Fax:571-231-6656
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2020-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101259041208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology