Individual
JOSETTE RENEE MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24560 SOUTHPOINT DRIVE, SUITE 230, ALDIE, VA 20105-3505
(703) 957-0416
(833) 291-9734
Mailing address
224-D CORNWALL ST., NW SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101053001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396061750
—
VA
Enumeration date
04/10/2010
Last updated
11/30/2022
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