| Dominion Medical Center, Llc | |
|
11463 Ridge Rd King George VA 22485-4078 | |
| (301) 870-3540 | |
| (301) 392-1726 |
| Full Name | Dominion Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11463 Ridge Rd, King George, Virginia |
| Authorized Official Name and Position | Maryann Ayers (ADMINISTRATOR) |
| Authorized Official Contact | 3018703540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Medical Center, Llc 11463 Ridge Rd P.o. Box 999 King George VA 22485-4078 Ph: (301) 870-3540 | Dominion Medical Center, Llc 11463 Ridge Rd King George VA 22485-4078 Ph: (301) 870-3540 |
| NPI Number | 1114109261 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114109261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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