Healthcare Provider Details

I. General information

NPI: 1114663432
Provider Name (Legal Business Name): VIRGINIA LESSLIE MILNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIRGINIA WALKER LESSLIE

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC 333
CHARLESTON SC
29425
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8168
  • Fax:
Mailing address:
  • Phone: 843-876-4269
  • Fax: 843-876-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101286276
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: