| Alexander T Augusta Med Ctr-ft Belvoir | |
|
3700 Fettler Park Dr Dumfries VA 22025-2050 | |
| (703) 441-7690 | |
| (703) 441-7575 |
| Full Name | Alexander T Augusta Med Ctr-ft Belvoir |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3700 Fettler Park Dr, Dumfries, Virginia |
| Authorized Official Name and Position | Damogipurapu Lakshmi Rao (STAFF PHYSICIAN) |
| Authorized Official Contact | 5712311345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander T Augusta Med Ctr-ft Belvoir 9300 Dewitt Loop Fort Belvoir VA 22060-5285 Ph: (703) 441-7690 | Alexander T Augusta Med Ctr-ft Belvoir 3700 Fettler Park Dr Dumfries VA 22025-2050 Ph: (703) 441-7690 |
| NPI Number | 1023415825 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023415825 | NPI | - | NPPES |
| 2148923 | Other | PK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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