| NPI | 1396460770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT ADAMS CEO 703-863-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-11-06 |