Individual
CAROL ELIZABETH MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 554-1100
(703) 430-6985
Mailing address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 554-1100
(703) 430-6985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235588
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101272084
—
VA
Enumeration date
08/31/2006
Last updated
12/03/2021
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