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8640 Sudley Rd Suite 203 Manassas VA 20110-4420 | |
(703) 368-3161 | |
(703) 368-2498 |
Full Name | |
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Speciality | Family Medicine |
Location | 8640 Sudley Rd, Manassas, Virginia |
Authorized Official Name and Position | Chuck D Coder (CFO) |
Authorized Official Contact | 8048352069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 748613 Atlanta GA 30384-8613 Ph: () - | 8640 Sudley Rd Suite 203 Manassas VA 20110-4420 Ph: (703) 368-3161 |
NPI Number | 1366744039 |
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Provider Enumeration Date | 12/01/2010 |
Last Update Date | 09/26/2023 |
Identifier | Type | State | Issuer |
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1366744039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family 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 |