| Premise Health Of Virginia Medical Pc | |
|
4807 Stonecroft Blvd Chantilly VA 20151-3822 | |
| (703) 957-7276 | |
| (703) 991-0051 |
| Full Name | Premise Health Of Virginia Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4807 Stonecroft Blvd, Chantilly, Virginia |
| Authorized Official Name and Position | Edward William Schwartz (PRESIDENT) |
| Authorized Official Contact | 8444077557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Virginia Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Virginia Medical Pc 4807 Stonecroft Blvd Chantilly VA 20151-3822 Ph: (703) 957-7276 |
| NPI Number | 1871457093 |
|---|---|
| Provider Enumeration Date | 12/11/2025 |
| Last Update Date | 03/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871457093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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