| Prosperity Primary Care | |
|
8301 Arlington Blvd Suite 405 Fairfax VA 22031-2902 | |
| (703) 698-9000 | |
| (703) 698-6901 |
| Full Name | Prosperity Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 8301 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | James P Jenkins (PRESIDENT) |
| Authorized Official Contact | 7032559100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Primary Care Po Box 791128 Baltimore MD 21279-1128 Ph: (703) 391-2030 | Prosperity Primary Care 8301 Arlington Blvd Suite 405 Fairfax VA 22031-2902 Ph: (703) 698-9000 |
| NPI Number | 1588740161 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588740161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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