Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 12/23/2021
Centers for Disease Control and Prevention
Global Immunization Division
1600 Clifton Rd MS E98 Atlanta, GA 30329-4027
Phone: 329285036370
Fax: 301-458-4813
Location Details
- Practitioner spends 80% of time at this location.
Years in Active Clinical Practice
Last Updated 12/23/2021
Years in Active Clinical Practice Inside US/Canada: 4
Years in Active Clinical Practice Outside US/Canada: 6
Medicaid
Last Updated 12/23/2021
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 12/23/2021
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 12/23/2021
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