| Mtv Health Center | |
|
9600 Godwin Dr Manassas VA 20110-4162 | |
| (703) 396-1067 | |
| (703) 396-1060 |
| Full Name | Mtv Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9600 Godwin Dr, Manassas, Virginia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtv Health Center 5500 Maryland Way Brentwood TN 37027-4948 Ph: (703) 396-1067 | Mtv Health Center 9600 Godwin Dr Manassas VA 20110-4162 Ph: (703) 396-1067 |
| NPI Number | 1598054793 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598054793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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