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Contact Information

ROCKY RUN FAMILY MEDICINE INC
5645 STONE RD
CENTREVILLE, VA20120-1618
 Phone: 703-266-2442
 Fax: 703-266-7158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ROCKY RUN FAMILY MEDICINE INC · (Female)

NPI Number 1043234552
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2006
Last updated 03/11/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 144870
  • VA Medicaid 5615691
  • VA Medicaid 5615712
  • VA Medicaid 5615747
  • VA Other 383306 ANTHEM BC/BS
  • VA Other 383307 ANTHEM BC/BS
  • VA Other 383308 ANTHEM BC/BS
  • VA Other 8094-0001 CAREFIRST
  • VA Other 8094-0002 CAREFIRST
  • VA Other 8094-0004 CAREFIRST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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