Individual
DR. VANESSA JEAN STURGILL FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Mailing address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-234819
VA
207Q00000X
Family Medicine Physician
200701834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010001099
—
VA
05
—
010001137
—
VA
05
—
10001129
—
VA
Enumeration date
12/09/2005
Last updated
04/10/2026
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