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Individual

TESSY K. PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
LEE ST FL 2, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5219
(434) 924-9720
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101258648
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101258648
VA
208M00000X
Hospitalist Physician
D72512
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
557705500
MD
01
974409-01
CAREFIRST BC/BS
MD
01
S062-0429
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
06/04/2008
Last updated
08/10/2015
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