| NPI | 1184178550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE W APPLING Sr. Director, Physician Outpatient 571-581-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: VA 0024173760) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |