Individual
SU FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2251 VALLEY AVE, WINCHESTER, VA 22601-2755
(540) 215-2211
(888) 414-5264
Mailing address
PO BOX 974, BLOOMSBURG, PA 17815-0974
(570) 391-0104
(888) 414-5264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD069929L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
0101250992
VA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD069929L
PA
207QA0505X
Adult Medicine Physician
0101250992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001122151
—
PA
Enumeration date
09/22/2005
Last updated
07/01/2025
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