NPI | 1710060330 |
---|---|
Doing Business As | FAMILY MEDICINE OF CLIFTON-CENTREVILLE |
Entity Type | Organization |
Authorized Contact | JAMES P. JENKINS President 703-391-2030 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0631926) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2014-02-21 |