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Individual

SANDRA JANE FEARRINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
(703) 664-7666
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9600529
NC
208200000X
Plastic Surgery Physician
Primary
0101266693
VA
208200000X
Plastic Surgery Physician
9600529
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065V
BCBS
Enumeration date
05/30/2007
Last updated
08/02/2021
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