Individual
DR. PARNELL CHARLES MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9501 FARRELL ROAD, PEDIATRIC SERVICE, FORT BELVOIR, VA 22060
(703) 805-0531
(703) 805-9024
Mailing address
7807 BLUE JASMINE CT, SPRINGFIELD, VA 22153-2128
(703) 455-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050860
GA
Other
Enumeration date
10/31/2005
Last updated
08/14/2007
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