Individual
MADISON MARILEE DOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E JUBAL EARLY DR, WINCHESTER, VA 22601-5178
(540) 536-2232
(540) 536-2206
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011418
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
02/04/2026
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