| Coleman Primary Care | |
|
2 Pidgeon Hill Drive Suite 400 Sterling VA 20165-6129 | |
| (703) 430-7090 | |
| (703) 444-9878 |
| Full Name | Coleman Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Pidgeon Hill Drive, Sterling, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Primary Care 224-d Cornwall Street, Nw Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Coleman Primary Care 2 Pidgeon Hill Drive Suite 400 Sterling VA 20165-6129 Ph: (703) 430-7090 |
| NPI Number | 1538293147 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538293147 | NPI | - | NPPES |
| CG8678 | Other | VA | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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