| Amajjin Health And Wellness Llc | |
|
20522 Falcons Landing Cir Potomac Falls VA 20165-7595 | |
| (703) 404-5100 | |
| Not Available |
| Full Name | Amajjin Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20522 Falcons Landing Cir, Potomac Falls, Virginia |
| Authorized Official Name and Position | Krystle Brown (BILLING MANAGER) |
| Authorized Official Contact | 4108709380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amajjin Health And Wellness Llc 4316 Chancery Park Dr Fairfax VA 22030-8103 Ph: (410) 870-9380 | Amajjin Health And Wellness Llc 20522 Falcons Landing Cir Potomac Falls VA 20165-7595 Ph: (703) 404-5100 |
| NPI Number | 1801576897 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 0749642627 |
|---|---|
| Medicare Enrollment ID | O20230809000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801576897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariatu Koroma-nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568756070 PECOS PAC ID: 5395046528 Enrollment ID: I20151214000631 |
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