| NPI | 1659555431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL J JACKSON Practice Administrator 703-280-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101043248) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2011-11-03 |