Individual
SAMUEL PARKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7500
Mailing address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005160A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02005160A
STATE LICENSE
IN
Enumeration date
03/25/2016
Last updated
08/02/2025
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