Individual
DR. ASHLEY TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 359-7878
Mailing address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 359-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116023409
VA
Other
Enumeration date
06/23/2011
Last updated
06/29/2021
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