Centreville-chantilly Family Practice | |
5715 Centre Square Dr Centreville VA 20120-1916 | |
(703) 631-5151 | |
(703) 631-9754 |
Full Name | Centreville-chantilly Family Practice |
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Speciality | Family Medicine |
Location | 5715 Centre Square Dr, Centreville, Virginia |
Authorized Official Name and Position | Paige Rhodes (OFFICE MANAGER) |
Authorized Official Contact | 7036315151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centreville-chantilly Family Practice 5715 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 631-5151 | Centreville-chantilly Family Practice 5715 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 631-5151 |
NPI Number | 1558550558 |
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Provider Enumeration Date | 10/16/2007 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558550558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Virginia) | Primary |
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