Individual
DAN ANNA TEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
Mailing address
420 HIGH ST APT 309, PETERSBURG, VA 23803-3827
(804) 943-6419
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101284583
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
07/24/2025
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