Organization
TERESA L. DELAWTER, M.D., P.C.
Active
Organization
TERESA L. DELAWTER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA L. DELAWTER M.D. (PRESIDENT)
(703) 257-8401
Entity
Organization
Contact information
Practice address
9108 CHURCH ST., UNIT 486, MANASSAS, VA 20108-8020
(703) 257-8401
Mailing address
9108 CHURCH ST, UNIT 486, MANASSAS, VA 20108-8001
(703) 257-8401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101051233
VA
2084P0800X
Psychiatry Physician
40899
VA
Other
Enumeration date
09/12/2007
Last updated
10/11/2016
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