Internal Medicine And Wellness, Pc | |
7110 Heritage Village Plaza Suite 101 Gainesville VA 20155 | |
(703) 753-2922 | |
(703) 753-4383 |
Full Name | Internal Medicine And Wellness, Pc |
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Speciality | Internal Medicine |
Location | 7110 Heritage Village Plaza, Gainesville, Virginia |
Authorized Official Name and Position | Christopher Lillis (PRESIDENT) |
Authorized Official Contact | 7039538593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine And Wellness, Pc 7110 Heritage Village Plaza Suite 101 Gainesville VA 20155 Ph: (703) 753-2922 | Internal Medicine And Wellness, Pc 7110 Heritage Village Plaza Suite 101 Gainesville VA 20155 Ph: (703) 753-2922 |
NPI Number | 1649451253 |
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Provider Enumeration Date | 11/26/2007 |
Last Update Date | 11/26/2007 |
Identifier | Type | State | Issuer |
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1649451253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101237920 (Virginia) | Primary |
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