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1164862868
NINO GELENIDZE
FAIRFAX, VA
NPI
1164862868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101260116)
Enumeration Date
2013-06-27
Last Update Date
2021-06-23
Business Address
NINO GELENIDZE MD
10100 FAIRFAX BLVD
FAIRFAX, VA 22030-2000
Phone number: 703-679-1876
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Mailing Address
NINO GELENIDZE MD
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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