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TELINA MARIE WILLIAMS-STUCKEY D.O. NPI 1790784254


NPI Information

NPI: 1790784254
Provider Name: TELINA MARIE WILLIAMS-STUCKEY, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3918 CENTREVILLE RD
CHANTILLY, VA
ZIP 20151
Phone: (703) 657-6925
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Telina Marie Williams-stuckey, D.O. is a family medicine in Chantilly, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Telina Marie Williams-stuckey, D.O. NPI is 1790784254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3918 CENTREVILLE RD
CHANTILLY, VA
ZIP 20151
Phone: (703) 657-6925

The NPI 1790784254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 5/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0102203850VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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