Organization
ROCKY RUN FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE SUSAN MARKIN M.D. (PRESIDENT)
(703) 266-2442
Entity
Organization
Contact information
Practice address
5645 STONE RD, CENTREVILLE, VA 20120-1618
(703) 266-2442
(703) 266-7158
Mailing address
5645 STONE RD, CENTREVILLE, VA 20120-1618
(703) 266-2442
(703) 266-7158
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
144870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383306
ANTHEM BC/BS
VA
01
—
383307
ANTHEM BC/BS
VA
01
—
383308
ANTHEM BC/BS
VA
05
—
5615691
—
VA
05
—
5615712
—
VA
05
—
5615747
—
VA
01
—
8094-0001
CAREFIRST
VA
01
—
8094-0002
CAREFIRST
VA
01
—
8094-0004
CAREFIRST
VA
Enumeration date
07/27/2006
Last updated
03/11/2025
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