Individual
MRS. JAMIE PATTERSON FAIRGRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3914 CENTREVILLE RD, CHANTILLY, VA 20151-3289
(703) 481-8600
Mailing address
3914 CENTREVILLE RD, CHANTILLY, VA 20151-3289
(703) 481-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003767
VA
Other
Enumeration date
04/30/2012
Last updated
03/05/2014
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