MEDICARE: ZERLINE CHAMBERS-KERSEY MD PC

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	261QM2500X	Medical Specialty Clinic/Center	0101039281	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225185762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZERLINE CHAMBERS-KERSEY MD PC

Provider Business Mailing Address
First Line	:	3775 FETTLER PARK DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-1946
Country	:	US
Telephone Number	:	703-441-3555
Fax Number	:	703-441-3557

Provider Business Practice Location Address
First Line	:	3775 FETTLER PARK DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-1946
Country	:	US
Telephone Number	:	703-441-3555
Fax Number	:	703-441-3557

Authorized Official
Title or Position	:	OWNER-OPERATOR
Name	:	DR. ZERLINE EVELYN CHAMBERS-KERSEY
Credential	:	M.D.
Telephone Number	:	703-441-3555

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/29/2016

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