| Northern Virginia Family Care Llc | |
|
4101 Cheshire Station Plaza Suite 500 Dale City VA 22193 | |
| (571) 374-1234 | |
| Not Available |
| Full Name | Northern Virginia Family Care Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4101 Cheshire Station Plaza, Dale City, Virginia |
| Authorized Official Name and Position | John Gilliam (OWNER) |
| Authorized Official Contact | 5713741234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Family Care Llc 4101 Cheshire Station Plaza Suite 500 Dale City VA 22193 Ph: (571) 374-1234 | Northern Virginia Family Care Llc 4101 Cheshire Station Plaza Suite 500 Dale City VA 22193 Ph: (571) 374-1234 |
| NPI Number | 1720760259 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720760259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Dominion Family Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Mapledale Plz, Dale City, VA 22193 Phone: 703-670-0067 Fax: 703-670-0301 |