Individual
DR. MARY KATHERINE MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7528
Mailing address
15565 BLUE LOTUS LN, HAYMARKET, VA 20169-3013
(540) 214-9870
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101048850
VA
207N00000X
Dermatology Physician
D0062909
MD
Other
Enumeration date
09/21/2006
Last updated
06/11/2024
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