Provider Demographics
NPI:1194787697
Name:GAFFNEY, CHERRY (MD)
Entity type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S SAINT ASAPH ST
Mailing Address - Street 2:#412
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4370
Mailing Address - Country:US
Mailing Address - Phone:703-989-6573
Mailing Address - Fax:
Practice Address - Street 1:DEWITT ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:9501 FARRELL RD.
Practice Address - City:FT. BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:UM
Practice Address - Phone:703-989-6573
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10792S171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider