Prince William Family Medicine Gainesville | |
8078 Crescent Park Drive Suite 201 Gainesville VA 20155 | |
(703) 257-8090 | |
(703) 257-7822 |
Full Name | Prince William Family Medicine Gainesville |
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Speciality | Family Medicine |
Location | 8078 Crescent Park Drive, Gainesville, Virginia |
Authorized Official Name and Position | James P Jenkins (PRESIDENT) |
Authorized Official Contact | 7032559100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prince William Family Medicine Gainesville Po Box 791128 Baltimore MD 21279-1128 Ph: (703) 257-8090 | Prince William Family Medicine Gainesville 8078 Crescent Park Drive Suite 201 Gainesville VA 20155 Ph: (703) 257-8090 |
NPI Number | 1588788764 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
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1588788764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Novant Health Uva Health System Bristow Run Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155 Phone: 703-753-9799 Fax: 703-753-9792 | |
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