# SHERWOOD HALL FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1295997443
- **Authorized official:** JEAN Y REDDING (OWNEROFFICE MANAGER)
- **Authorized official phone:** (703) 360-6200

## Contact information

- **Practice address:** 2616 SHERWOOD HALL LN, SUITE 407, ALEXANDRIA, VA 22306-3100
- **Practice address phone:** (703) 360-6200
- **Practice address fax:** (703) 360-6091
- **Mailing address:** 2616 SHERWOOD HALL LN, SUITE 407, ALEXANDRIA, VA 22306-3100
- **Mailing address phone:** (703) 360-6200
- **Mailing address fax:** (703) 360-6091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0004110780 | VA | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/30/2008