| Orthovirginia, Inc | |
|
1850 Town Center Parkway Suite 400 Reston VA 20190-2019 | |
| (703) 810-5202 | |
| Not Available |
| Full Name | Orthovirginia, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1850 Town Center Parkway, Reston, Virginia |
| Authorized Official Name and Position | Nicole Proffitt (CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8045332357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthovirginia, Inc Po Box 715868 Philadelphia PA 19171-5868 Ph: (180) 491-5191 | Orthovirginia, Inc 1850 Town Center Parkway Suite 400 Reston VA 20190-2019 Ph: (703) 810-5202 |
| NPI Number | 1053060095 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053060095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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