| Telegraph Corner Family Medicine Pc | |
|
3111 Telegraph Corner Ln Suite 100 Alexandria VA 22310-2359 | |
| (703) 317-3200 | |
| (703) 317-3231 |
| Full Name | Telegraph Corner Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3111 Telegraph Corner Ln, Alexandria, Virginia |
| Authorized Official Name and Position | Nede N Velez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7033173200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telegraph Corner Family Medicine Pc 3111 Telegraph Corner Ln Suite 100 Alexandria VA 22310-2359 Ph: (703) 317-3200 | Telegraph Corner Family Medicine Pc 3111 Telegraph Corner Ln Suite 100 Alexandria VA 22310-2359 Ph: (703) 317-3200 |
| NPI Number | 1235287640 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779684832 |
|---|---|
| Medicare Enrollment ID | O20070719000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235287640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jane E Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790751428 PECOS PAC ID: 4082886874 Enrollment ID: I20111021000259 |
| Provider Name | Brian C Carty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467434886 PECOS PAC ID: 4880795806 Enrollment ID: I20150828001848 |
| Provider Name | Vera Garber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730161159 PECOS PAC ID: 0345341368 Enrollment ID: I20150828002053 |
| Provider Name | Priscilla R Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285616607 PECOS PAC ID: 9335240357 Enrollment ID: I20150828002133 |
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