| Premise Health Of Virginia Medical, P.c | |
|
8200 Jones Branch Dr Mc Lean VA 22102-3107 | |
| (703) 903-2844 | |
| (703) 903-2803 |
| Full Name | Premise Health Of Virginia Medical, P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8200 Jones Branch Dr, Mc Lean, Virginia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Virginia Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Virginia Medical, P.c 8200 Jones Branch Dr Mc Lean VA 22102-3107 Ph: (703) 903-2844 |
| NPI Number | 1629559463 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629559463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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