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8569 Sudley Rd Ste B Manassas VA 20110-3866 | |
| (703) 257-7749 | |
| (855) 254-4529 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 8569 Sudley Rd Ste B, Manassas, Virginia |
| Authorized Official Name and Position | Angela Shamel (OFFICE ADMIN) |
| Authorized Official Contact | 7032577749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8569 Sudley Rd Ste B Manassas VA 20110-3866 Ph: (703) 257-7749 | 8569 Sudley Rd Ste B Manassas VA 20110-3866 Ph: (703) 257-7749 |
| NPI Number | 1609804285 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609804285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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