| Seniorcare Geriatric Medical Ctr Llc | |
|
4710 Spotsylvania Pkwy Suite 204 Fredericksburg VA 22407-9433 | |
| (540) 371-4488 | |
| Not Available |
| Full Name | Seniorcare Geriatric Medical Ctr Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4710 Spotsylvania Pkwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Dana P Tate (MANAGING PARTNER) |
| Authorized Official Contact | 5403714488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorcare Geriatric Medical Ctr Llc 4710 Spotsylvania Pkwy Suite 204 Fredericksburg VA 22407-9433 Ph: (540) 371-4488 | Seniorcare Geriatric Medical Ctr Llc 4710 Spotsylvania Pkwy Suite 204 Fredericksburg VA 22407-9433 Ph: (540) 371-4488 |
| NPI Number | 1770881187 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770881187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0101242169 (Virginia) | Primary |
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