| Sentara Pratt Medical Group | |
|
16463 Dahlgren Rd King George VA 22485-5810 | |
| (540) 644-9505 | |
| (540) 644-9508 |
| Full Name | Sentara Pratt Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 16463 Dahlgren Rd, King George, Virginia |
| Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
| Authorized Official Contact | 7572522765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Pratt Medical Group 16463 Dahlgren Rd King George VA 22485-5810 Ph: (540) 644-9505 | Sentara Pratt Medical Group 16463 Dahlgren Rd King George VA 22485-5810 Ph: (540) 644-9505 |
| NPI Number | 1497139224 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497139224 | NPI | - | NPPES |
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
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