Ms Center Of Greater Washington Pc | |
8320 Old Courthouse Rd Suite 400 Vienna VA 22182-3831 | |
(703) 226-4000 | |
(703) 226-4010 |
Full Name | Ms Center Of Greater Washington Pc |
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Speciality | Clinic/Center |
Location | 8320 Old Courthouse Rd, Vienna, Virginia |
Authorized Official Name and Position | Meghan M Frederick (OFFICE MANAGER) |
Authorized Official Contact | 7032264000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ms Center Of Greater Washington Pc 8320 Old Courthouse Rd Suite 400 Vienna VA 22182-3831 Ph: (703) 226-4000 | Ms Center Of Greater Washington Pc 8320 Old Courthouse Rd Suite 400 Vienna VA 22182-3831 Ph: (703) 226-4000 |
NPI Number | 1245381789 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 12/10/2007 |
Medicare PECOS PAC ID | 2668571175 |
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Medicare Enrollment ID | O20070625000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245381789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 0101056335 (Virginia) | Primary |
Provider Name | Heidi J Crayton |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1669470720 PECOS PAC ID: 9931207115 Enrollment ID: I20070612000422 |
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