Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Samuel John Maccormick, MBBCH, BAO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871020644

Mr. Samuel John Maccormick, MBBCH, BAO is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908
Phone: (434) 924-9508
Fax: (434) 982-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871020644
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCH , BAO
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017

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