Organization
RENEE HAYNESWORTH, MD
Active
Other names
Haynesworth Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE HAYNESWORTH M.D. (OWNER)
(703) 858-2424
Entity
Organization
Contact information
Practice address
20608 GORDON PARK SQ, SUITE 170, ASHBURN, VA 20147-3141
(703) 858-2424
(703) 858-7048
Mailing address
PO BOX 495, ASHBURN, VA 20146-0495
(703) 858-2424
(703) 858-7048
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101102656
VA
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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