Individual
DR. MARC A CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 JOSEPH SIEWICK DRIVE, SUITE 400, FAIRFAX, VA 22033
(703) 391-2020
(703) 391-1211
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252825
VA
207Q00000X
Family Medicine Physician
01059898A
IN
Other
Enumeration date
10/11/2006
Last updated
04/22/2026
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