Individual
DARA COURTNEY WOTHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9763 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1915
(540) 786-1200
(540) 786-3195
Mailing address
9763 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1915
(540) 786-1200
(540) 786-3195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004625
VA
Other
Enumeration date
06/26/2014
Last updated
02/26/2021
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