Individual
FALLON ANDREA MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 AUBREYS LOOP, SENTARA HALIFAX FAMILY MEDICINE, SOUTH BOSTON, VA 24592-5054
(646) 835-9001
(646) 835-9001
Mailing address
1103 N MAIN ST, SOUTH BOSTON, VA 24592-2511
(646) 835-9001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101257845
VA
207Q00000X
Family Medicine Physician
036144488
IL
207Q00000X
Family Medicine Physician
10501937-1205
UT
207Q00000X
Family Medicine Physician
2017034134
MO
207Q00000X
Family Medicine Physician
25MA10713600
NJ
207Q00000X
Family Medicine Physician
273617-1
NY
207Q00000X
Family Medicine Physician
63188
MN
207Q00000X
Family Medicine Physician
R7061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558686345
FAMILY MEDICINE
NY
Enumeration date
04/05/2010
Last updated
10/30/2019
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