# AFM FAMILY & INTERNAL MEDICINE PC

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

## Provider details

- **NPI number:** 1881542371
- **Authorized official:** DARCELL BOUTELLE (OWNER)
- **Authorized official phone:** (310) 994-1553

## Contact information

- **Practice address:** 3620 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1756
- **Practice address phone:** (703) 941-0267
- **Mailing address:** 3620 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1756
- **Mailing address phone:** (703) 941-0267
- **Mailing address fax:** (703) 941-2018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 07/23/2026
