Healthcare Provider Details

I. General information

NPI: 1831399195
Provider Name (Legal Business Name): CAROLINA PILLION M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 05/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PIDGEON HILL DRIVE STE. 130
STERLING VA
20165
US

IV. Provider business mailing address

14 PIDGEON HILL DRIVE STE. 130
STERLING VA
20165
US

V. Phone/Fax

Practice location:
  • Phone: 703-444-1144
  • Fax: 703-444-6679
Mailing address:
  • Phone: 703-444-1144
  • Fax: 703-444-6679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberM6341
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: