Individual
BILLIE TAEWOO YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7489 ADAMS PARK CT, ANNANDALE, VA 22003-5724
(703) 674-6888
Mailing address
7489 ADAMS PARK CT, ANNANDALE, VA 22003-5724
(703) 674-6888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007275
VA
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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