Basic Information
| Provider Information | |||||||||
| NPI: | 1861483786 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REMY | ||||||||
| FirstName: | TERRI | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 N. BEAUREGARD ST., SUITE 300 | ||||||||
| Address2: | MEDICAL ASSOCIATES AT BEAUREGARD | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223111704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7037174148 | ||||||||
| FaxNumber: | 7037174149 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 N. BEAUREGARD ST, SUITE 300 | ||||||||
| Address2: | MEDICAL ASSOCIATES AT BEAUREGARD | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223111732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7037174148 | ||||||||
| FaxNumber: | 7037174149 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2005 | ||||||||
| LastUpdateDate: | 02/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101046682 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 006092403 | 05 | VA | MEDICAID |