Tina Williams

 
 1 09-18-2023 2:10 PM ET 
 athena 
 19541706437 
 pg 53 of 57 
 Privia - CCA - Cardiac Care Associates PC . 263D Cornwall St, LEESBURG VA 20636-2630 
 Tina Williams (id #1729306, D.O.B: 07-22-1986) 
 DATE OF ENCOUNTER: 10-01-2019 
 Patient 
 Name 
 Tina Williams (56yo, F) ID# 1729306 
 Appt. Date/Time 
 11-15-2018 09:45AM 
 D.O.B
 07-22-1986 
 Service Dept. 
 PMG_CCA_Reston Office* 
 Provider 
 Dr Robert Underwood, FACC 
 Chief Complaint 
 Transition of Care Encounter 
 Fax (703) 463-4463 NPI: 1117293037 
 Allergies 
 Reviewed Allergies 
 CODEINE: Dizziness 
 NKDA 
 Medications
