Individual
NATHAN LEE PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
(703) 204-9001
Mailing address
2115 WISCONSIN AVE NW #200, DEPARTMENT OF PSYCHIATRY, WASHINGTON, DC 20007-2113
(202) 670-3083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102203643
VA
2084P0800X
Psychiatry Physician
DO034435
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2009
Last updated
12/07/2021
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