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Individual

DR. VICKI SIMMONS FREILICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1002 AMHERST ST, BLDG C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336
Mailing address
1002 AMHERST ST, BLDG C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101232615
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02003950000
WV
01
437440
ANTHEM
VA
Enumeration date
07/10/2006
Last updated
07/08/2007
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