| NPI | 1447881909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VAUGHAN Practice Administrator 703-807-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133V00000X Dietitian, Registered | |
| 207R00000X Internal Medicine | |
| 224Y00000X Clinical Exercise Physiologist | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |