| Ageless Men's Health Va | |
|
8622 Lee Hwy Ste C Fairfax VA 22031-2148 | |
| (901) 238-7629 | |
| Not Available |
| Full Name | Ageless Men's Health Va |
|---|---|
| Speciality | Family Medicine |
| Location | 8622 Lee Hwy Ste C, Fairfax, Virginia |
| Authorized Official Name and Position | Teah Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health Va 8622 Lee Hwy Ste C Fairfax VA 22031-2148 Ph: () - | Ageless Men's Health Va 8622 Lee Hwy Ste C Fairfax VA 22031-2148 Ph: (901) 238-7629 |
| NPI Number | 1780364737 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780364737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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