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Organization
ROCKY RUN FAMILY MEDICINE INC
Active
Organization
ROCKY RUN FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE SUSAN MARKIN M.D. (PRESIDENT)
(703) 266-2442
Entity
Organization
Contact information
Practice address
5645 STONE RD, CENTREVILLE, VA 20120-1618
(703) 266-2442
(703) 266-7158
Mailing address
5645 STONE RD, CENTREVILLE, VA 20120-1618
(703) 266-2442
(703) 266-7158
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
144870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383306
ANTHEM BC/BS
VA
01
—
383307
ANTHEM BC/BS
VA
01
—
383308
ANTHEM BC/BS
VA
05
—
5615691
—
VA
05
—
5615712
—
VA
05
—
5615747
—
VA
01
—
8094-0001
CAREFIRST
VA
01
—
8094-0002
CAREFIRST
VA
01
—
8094-0004
CAREFIRST
VA
Enumeration date
07/27/2006
Last updated
03/11/2025
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