Provider Demographics
NPI:1700998630
Name:SEDGEWICK, JEFFREY HUNT (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HUNT
Last Name:SEDGEWICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7008 CHURCHILL RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2608
Mailing Address - Country:US
Mailing Address - Phone:703-723-1981
Mailing Address - Fax:703-723-3937
Practice Address - Street 1:44121 HARRY BYRD HWY
Practice Address - Street 2:SUITE 175
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5667
Practice Address - Country:US
Practice Address - Phone:703-723-1981
Practice Address - Fax:703-723-3937
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101225326207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA180000942Medicare PIN
H67508Medicare UPIN