Mid Atlantic Medical Management , Llc | |
5904 Old Richmond Highway Suite 515 Alexandria VA 22303 | |
(240) 754-7129 | |
(240) 754-7128 |
Full Name | Mid Atlantic Medical Management , Llc |
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Speciality | Internal Medicine |
Location | 5904 Old Richmond Highway, Alexandria, Virginia |
Authorized Official Name and Position | Atlee Thomas Wampler (CEO/OWNER) |
Authorized Official Contact | 7705045162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid Atlantic Medical Management , Llc Po Box 566455 Atlanta GA 31156-6455 Ph: (770) 504-5162 | Mid Atlantic Medical Management , Llc 5904 Old Richmond Highway Suite 515 Alexandria VA 22303 Ph: (240) 754-7129 |
NPI Number | 1689121709 |
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Provider Enumeration Date | 09/07/2016 |
Last Update Date | 09/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689121709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101254559 (Virginia) | Primary |
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