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Individual

SARA LINDSAY GILLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2901 TELESTAR CT STE 100, FALLS CHURCH, VA 22042-1261
(703) 208-9797
(703) 591-0829
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003987
VA
363AM0700X
Medical Physician Assistant
C0003485
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598947111
VA
Enumeration date
12/05/2007
Last updated
07/21/2023
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