| NPI | 1912656778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANIBAL MAHDI Owner 571-331-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-01-12 |