| Montage Health And Wellness Corp | |
|
5631 Burke Centre Pkwy Ste C Burke VA 22015-2234 | |
| (540) 712-1776 | |
| Not Available |
| Full Name | Montage Health And Wellness Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 5631 Burke Centre Pkwy Ste C, Burke, Virginia |
| Authorized Official Name and Position | Patti D Lee (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5407121776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montage Health And Wellness Corp 17912 Waterfowl Ct Purcellville VA 20132-4281 Ph: () - | Montage Health And Wellness Corp 5631 Burke Centre Pkwy Ste C Burke VA 22015-2234 Ph: (540) 712-1776 |
| NPI Number | 1306443684 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306443684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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