Individual
AMBER MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 105, FAIRFAX, VA 22033-1764
(703) 970-6464
(703) 970-6465
Mailing address
100 KING HENRY CT, ALEXANDRIA, VA 22314-2931
(814) 280-3907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006768
VA
363AM0700X
Medical Physician Assistant
0110006768
VA
363AS0400X
Surgical Physician Assistant
0110006768
VA
Other
Enumeration date
07/02/2019
Last updated
10/06/2023
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