Provider Demographics
NPI:1033220454
Name:MCFARLAND, SALLY A (MD)
Entity Type:Individual
Prefix:PROF
First Name:SALLY
Middle Name:A
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4001 FAIR RIDGE DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2917
Mailing Address - Country:US
Mailing Address - Phone:703-539-8601
Mailing Address - Fax:703-539-8578
Practice Address - Street 1:4001 FAIR RIDGE DR
Practice Address - Street 2:SUITE 303
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2917
Practice Address - Country:US
Practice Address - Phone:703-539-8601
Practice Address - Fax:703-539-8578
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB42308Medicare UPIN
00B410R26Medicare PIN