NPI 1386481109
Distinctive Dermatology PLLC
Practice location
- Address
- 8603 Westwood Center Dr STE 320, Vienna, VA 22182-2230
- Phone
- (703) 570-1192
- Fax
- (703) 382-6654
- Mailing address
- PO Box 64, Great Falls, VA 22066-0064
Authorised official
- Name
- Amber Atwater
- Title
- Manager
- Phone
- (919) 239-0126
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1386481109
- Entity type
- Organization
- NPI issued
- 9 Jul 2024
- Record last updated
- 2 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.