# MEDHEALTH360

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205437274
- **Authorized official:** HEATHER PARRESOL (OFFICE MANAGER)
- **Authorized official phone:** (703) 729-5553

## Contact information

- **Practice address:** 19500 SANDRIDGE WAY STE 170, LEESBURG, VA 20176-3692
- **Practice address phone:** (571) 252-8400
- **Practice address fax:** (703) 554-1301
- **Mailing address:** 19500 SANDRIDGE WAY STE 170, LEESBURG, VA 20176-3692
- **Mailing address phone:** (571) 252-8400
- **Mailing address fax:** (703) 554-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020