# OLDE TOWNE OBSTETRICS & GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1457538290
- **Authorized official:** DR. CHERYL A FERRIER M.D. (CEO)
- **Authorized official phone:** (703) 739-8888

## Contact information

- **Practice address:** 3131 MOUNT VERNON AVE, ALEXANDRIA, VA 22305-2640
- **Practice address phone:** (703) 739-8888
- **Practice address fax:** (703) 519-8728
- **Mailing address:** 3131 MT. VERNON AVE., ALEXANDRIA, VA 22305
- **Mailing address phone:** (703) 739-8888
- **Mailing address fax:** (703) 519-8728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 07/14/2009