Chantilly Specialists, Ltd.

NPI #1265444053 in Chantilly, Virginia

Provider Information

NPI Number: 1265444053
Entity Type: Organization
Organization Name: Chantilly Specialists, Ltd.
Primary Specialty: Specialist
Enumeration Date: Aug 12, 2006
Last Updated: May 6, 2008

Practice Location

Address: 14121 PARKE LONG CT
Address 2: SUITE 112
City: Chantilly
State: Virginia
ZIP Code: 20151-1647
Phone: (703) 378-3854

Authorized Official

Name: ROBERTA MILLSAP
Title: ADMIN ASSISTANT
Phone: (703) 378-3854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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