| NPI | 1598946550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D REDDING Office Manager 703-282-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101043490) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2022-10-11 |