Healthcare Provider Details

I. General information

NPI: 1194787697
Provider Name (Legal Business Name): CHERRY GAFFNEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEWITT ARMY COMMUNITY HOSPITAL 9501 FARRELL RD.
FT. BELVOIR VA
22060-5901
UM

IV. Provider business mailing address

800 S SAINT ASAPH ST #412
ALEXANDRIA VA
22314-4370
US

V. Phone/Fax

Practice location:
  • Phone: 703-989-6573
  • Fax:
Mailing address:
  • Phone: 703-989-6573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number10792S
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: