MEDICARE: DR. SARAH TAYLOR CORLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101043231	VA

General Provider Information

NPI Number	:	1730182296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH TAYLOR CORLEY M.D.

Provider Business Mailing Address
First Line	:	6204 VERNON PALMER CT
Second Line	:
City	:	MCLEAN
State	:	VA
Zip	:	22101-2349
Country	:	US
Telephone Number	:	703-354-0095
Fax Number	:	703-783-8849

Provider Business Practice Location Address
First Line	:	7515 COLSHIRE DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-7539
Country	:	US
Telephone Number	:	703-983-1382
Fax Number	:	703-783-1382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/04/2021

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