| NPI | 1588740161 |
|---|---|
| Doing Business As | PROSPERITY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES P JENKINS President 703-255-9100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-01-07 |