Individual
TERRY FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25826 JANES CT, CHANTILLY, VA 20152-5777
(703) 307-9252
Mailing address
25826 JANES CT, CHANTILLY, VA 20152-5777
(703) 307-9252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NON MEDICARE
—
Enumeration date
09/29/2021
Last updated
09/29/2021
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