Individual
DR. TAMMY M LOCKETT-BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13880 BRADDOCK RD, STE 307, CENTREVILLE, VA 20121-2459
(703) 968-0015
(703) 968-0017
Mailing address
13880 BRADDOCK RD, STE 307, CENTREVILLE, VA 20121-2459
(703) 968-0015
(703) 968-0017
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101237687
VA
Other
Enumeration date
08/16/2005
Last updated
07/23/2007
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