Individual
JOANNE GUTLIPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8640 SUDLEY RD, SUITE 303, MANASSAS, VA 20110-4420
(703) 361-7778
(703) 361-1811
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 361-7778
(703) 361-1811
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101044153
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209599
—
VA
Enumeration date
11/17/2005
Last updated
10/25/2020
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