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15225 Heathcote Blvd Haymarket VA 20169-6264 | |
(703) 396-5292 | |
(703) 396-5297 |
Full Name | |
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Speciality | Internal Medicine |
Location | 15225 Heathcote Blvd, Haymarket, 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: () - | 15225 Heathcote Blvd Haymarket VA 20169-6264 Ph: (703) 396-5292 |
NPI Number | 1407211451 |
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Provider Enumeration Date | 12/17/2015 |
Last Update Date | 09/26/2023 |
Identifier | Type | State | Issuer |
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1407211451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Mountain View Internal Medicine And Pediatrics Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15195 Heathcoat Blvd, Suite 330, Haymarket, VA 20169 Phone: 571-248-0167 Fax: 571-248-0173 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15195 Heathcote Boulevard, Suite 334, Haymarket, VA 20169 Phone: 703-369-9070 Fax: 703-810-5302 |