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Individual

CORINNA TALLEY SCHRANKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19500 SANDRIDGE WAY, SUITE 110, LEESBURG, VA 20176-3688
(703) 723-7337
(703) 723-6848
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101056835
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06704506
VA
01
370016510
RR MEDICARE
05
6704859
VA
Enumeration date
08/30/2005
Last updated
03/23/2011
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