# P JEAN DREW MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodson Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679625248
- **Authorized official:** P JEAN DREW MD (PHYSICIAN OWNER)
- **Authorized official phone:** (703) 426-4900

## Contact information

- **Practice address:** 9683 A MAIN STREET, WOODSON SQUARE, FAIRFAX, VA 22031-3755
- **Practice address phone:** (703) 426-4900
- **Practice address fax:** (703) 426-4955
- **Mailing address:** 9683 A MAIN STREET, WOODSON SQUARE, FAIRFAX, VA 22031-3755
- **Mailing address phone:** (703) 426-4900
- **Mailing address fax:** (703) 426-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101046952 | VA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 12/20/2007