| Alexandria Geriatric Care | |
|
10006 Thompson Ridge Ct Great Falls VA 22066 | |
| (703) 759-6294 | |
| (703) 759-2724 |
| Full Name | Alexandria Geriatric Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 10006 Thompson Ridge Ct, Great Falls, Virginia |
| Authorized Official Name and Position | Deborah Ann Walczak (MEDICAL BILLER) |
| Authorized Official Contact | 7037592724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Geriatric Care Po Box 641 Great Falls VA 22066-0641 Ph: (703) 759-2724 | Alexandria Geriatric Care 10006 Thompson Ridge Ct Great Falls VA 22066 Ph: (703) 759-6294 |
| NPI Number | 1245297506 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245297506 | NPI | - | NPPES |
| 5872936 | Medicaid | VA | |
| G3900001 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101033583 (Virginia) | Primary |
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