Provider Demographics
NPI:1821287368
Name:CAROL A. VOSS, MD, LLC
Entity Type:Organization
Organization Name:CAROL A. VOSS, MD, LLC
Other - Org Name:STAFFORD FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-370-0295
Mailing Address - Street 1:11 SMOKEHOUSE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-8455
Mailing Address - Country:US
Mailing Address - Phone:540-370-0295
Mailing Address - Fax:540-370-0619
Practice Address - Street 1:11 SMOKEHOUSE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-8455
Practice Address - Country:US
Practice Address - Phone:540-370-0295
Practice Address - Fax:540-370-0619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10376Medicare PIN