Individual
JAMES AUSTIN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25055 RIDING PLZ STE 260, CHANTILLY, VA 20152-5922
(703) 272-5000
(703) 957-3804
Mailing address
21475 RIDGETOP CIR STE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-5000
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101274225
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101274225
LICENSE
VA
Enumeration date
04/26/2017
Last updated
11/17/2022
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