Individual
JANICE SOLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10322 BRISTOW CENTER DR, BRISTOW, VA 20136-2201
(571) 284-4230
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101256263
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346536075
ANTHEM
VA
05
—
1346536075
—
VA
Enumeration date
06/21/2011
Last updated
02/24/2023
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