| NPI | 1083026694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNETTE HENDERSON MARAGH Dr. 703-858-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101241757) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-09-05 |