| Speac,llc | |
|
15109 Lee Hwy Centreville VA 20121-2122 | |
| (571) 242-2489 | |
| Not Available |
| Full Name | Speac,llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15109 Lee Hwy, Centreville, Virginia |
| Authorized Official Name and Position | Catherine Baer Coleman (DIRECTOR/OWNER) |
| Authorized Official Contact | 5712422489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speac,llc 13602 Fernbrook Ct Centreville VA 20120-1797 Ph: (571) 242-2489 | Speac,llc 15109 Lee Hwy Centreville VA 20121-2122 Ph: (571) 242-2489 |
| NPI Number | 1972752038 |
|---|---|
| Provider Enumeration Date | 09/14/2008 |
| Last Update Date | 09/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972752038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2202002982 (Virginia) | Primary |
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