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Individual

DR. MARK FULLER SEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
(703) 504-3388
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101229824
VA
207VM0101X
Maternal & Fetal Medicine Physician
0101229824
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2011-1303
NC
207VM0101X
Maternal & Fetal Medicine Physician
35083035S
OH

Other

Enumeration date
07/31/2006
Last updated
07/20/2021
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