| |
8700 Sudley Rd Manassas VA 20110-4419 | |
(703) 396-5292 | |
(703) 396-5297 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 8700 Sudley Rd, Manassas, Virginia |
Authorized Official Name and Position | Geoffrey Gardner (VP OF FINANCE) |
Authorized Official Contact | 7033965292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 60447 Charlotte NC 28260-0447 Ph: (703) 396-5292 | 8700 Sudley Rd Manassas VA 20110-4419 Ph: (703) 396-5292 |
NPI Number | 1538490263 |
---|---|
Provider Enumeration Date | 01/20/2010 |
Last Update Date | 08/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538490263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Santa Cruz Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8703 Stonewall Rd, 2b, Manassas, VA 20110 Phone: 703-361-1955 Fax: 703-361-3277 | |
Manassas Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8691 Stonewall Rd, Manassas, VA 20110 Phone: 703-368-1182 Fax: 703-368-0247 | |
Primedoc Of Manassas Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Sudley Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10757 Ambassador Dr, Suite 101, Manassas, VA 20109 Phone: 703-626-7501 Fax: 571-379-7468 |