| Northern Virginia Neurology & Headache, Pllc | |
|
7700 Little River Turnpike Suite 605 Annadale VA 22003-2400 | |
| (509) 572-5505 | |
| Not Available |
| Full Name | Northern Virginia Neurology & Headache, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7700 Little River Turnpike, Annadale, Virginia |
| Authorized Official Name and Position | Jung Gook Lim (PHYSICIAN-OWNER) |
| Authorized Official Contact | 5095725505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Neurology & Headache, Pllc 7700 Little River Turnpike Suite 605 Annadale VA 22003-2400 Ph: (509) 572-5505 | Northern Virginia Neurology & Headache, Pllc 7700 Little River Turnpike Suite 605 Annadale VA 22003-2400 Ph: (509) 572-5505 |
| NPI Number | 1043673544 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 2567752140 |
|---|---|
| Medicare Enrollment ID | O20160610000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043673544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jung Gook Lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598985434 PECOS PAC ID: 5991977068 Enrollment ID: I20150303001432 |
Crossover Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6922 Little River Turnpike, Suite D, Annadale, VA 22003 Phone: 703-705-9306 Fax: 703-890-3114 |