| Embrey Mill Primary and Urgent Care LLC | |
|
1610 Publix Way # B112 Stafford VA 22554-7783 | |
| (571) 332-2439 | |
| Not Available |
| Full Name | Embrey Mill Primary and Urgent Care LLC |
|---|---|
| Speciality | General Practice |
| Location | 1610 Publix Way # B112, Stafford, Virginia |
| Authorized Official Name and Position | Galam a Khan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5713322439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrey Mill Primary and Urgent Care LLC 1610 Publix Way # B112 Stafford VA 22554-7783 | Embrey Mill Primary and Urgent Care LLC 1610 Publix Way # B112 Stafford VA 22554-7783 Ph: (571) 332-2439 |
| NPI Number | 1790400042 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790400042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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