Individual
CARLEIGH FISHER QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 400-1663
(301) 400-1662
Mailing address
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236-5638
(210) 916-9928
(210) 916-9332
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208000000X
Pediatrics Physician
0102208386
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0102208386
VA
208D00000X
General Practice Physician
0102208386
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2022
Last updated
07/24/2025
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