Be Well Family Medicine And Wellness Center, Pllc | |
3779 Fettler Park Dr Dumfries VA 22025-1946 | |
(571) 391-6727 | |
(703) 291-7129 |
Full Name | Be Well Family Medicine And Wellness Center, Pllc |
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Speciality | Family Medicine |
Location | 3779 Fettler Park Dr, Dumfries, Virginia |
Authorized Official Name and Position | Aminah Latonya Jones (OWNER) |
Authorized Official Contact | 7035935103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Be Well Family Medicine And Wellness Center, Pllc 18000 Red Cedar Rd Dumfries VA 22026-2943 Ph: (703) 593-5103 | Be Well Family Medicine And Wellness Center, Pllc 3779 Fettler Park Dr Dumfries VA 22025-1946 Ph: (571) 391-6727 |
NPI Number | 1275263790 |
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Provider Enumeration Date | 06/16/2022 |
Last Update Date | 06/16/2022 |
Medicare PECOS PAC ID | 9638552391 |
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Medicare Enrollment ID | O20220815000088 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275263790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aminah Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881849339 PECOS PAC ID: 0648443515 Enrollment ID: I20220815000111 |
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