IndividualActive
Mack Drake, DO
NPI 1114160629 · Surgical Critical Care Physician · Richmond, VA
Provider details
- NPI number
- 1114160629
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102206152 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone: (706) 863-9595
Fax: (706) 868-8375
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3548
Augusta, GA 30914-3548
Registry dates
- Enumerated
- 2009-04-14
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.