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Individual

DR. CHERYL-LYNNE DEIDRE MCCALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2700 PROSPERITY AVE STE 270, FAIRFAX, VA 22031-4321
(703) 698-2431
(571) 665-6878
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203396
VA
2083A0100X
Aerospace Medicine Physician
0102203396
VA
208D00000X
General Practice Physician
0102203396
VA

Other

Enumeration date
06/13/2011
Last updated
04/23/2026
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