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Individual

EVA CAROL PICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
26005 RIDGE RD, SUITE 200, DAMASCUS, MD 20872-1892
(301) 414-2300
(301) 414-0476
Mailing address
21988 WILLISVILLE RD, UPPERVILLE, VA 20184-3124
(423) 534-5919

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101840547
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
D0080723
MD
207V00000X
Obstetrics & Gynecology Physician
MD36124
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2547516
CIGNA
TN
05
3718898
TN
01
4086863
BCBS OF TENNESSEE
TN
05
79065K7
NC
01
TN0105
JOHN DEERE INSURANCE CO
TN
Enumeration date
03/14/2006
Last updated
04/25/2017
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