SearchVirginia363AM0700X

Carly Fuller

NPI 1295293611 · on the registry since 2019 · sole proprietor

Practice

Address
2300 Opitz Blvd
Woodbridge, VA 22191
Phone
(703) 915-5550
Organisation at this address
Potomac Hospital
Potomac Hospital
Dhp Of Potomac Pc
Bestpractices, Inc.
New Life Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia