Individual
DR. STACY ANN-MARIE DEHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
7915 LAKE MANASSAS DR, SUITE 205, GAINESVILLE, VA 20155-3258
(571) 261-3529
(703) 753-5613
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680
(704) 316-7106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101057518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6211879
—
VA
Enumeration date
08/09/2005
Last updated
10/25/2020
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