| Acsh Primary Care Of Virigina, Llc | |
|
12713 Shoppes Ln Fairfax VA 22033-3834 | |
| (703) 222-3555 | |
| Not Available |
| Full Name | Acsh Primary Care Of Virigina, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12713 Shoppes Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Norman Winland (COO) |
| Authorized Official Contact | 4044651000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acsh Primary Care Of Virigina, Llc Po Box 101099 Atlanta GA 30392-1099 Ph: () - | Acsh Primary Care Of Virigina, Llc 12713 Shoppes Ln Fairfax VA 22033-3834 Ph: (703) 222-3555 |
| NPI Number | 1902212343 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902212343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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