| |
5249 Duke St Ste 301, Alexandria, VA 22304-2907 | |
(240) 863-2822 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 5249 Duke St Ste 301, Alexandria, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073280327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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4703 Cherokee St, College Park, MD 20740-1816 Ph: (301) 455-1348 | 5249 Duke St Ste 301, Alexandria, VA 22304-2907 Ph: (240) 863-2822 |