| Summit Direct Care | |
|
4200b Technology Ct Chantilly VA 20151-1214 | |
| (571) 350-0929 | |
| Not Available |
| Full Name | Summit Direct Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4200b Technology Ct, Chantilly, Virginia |
| Authorized Official Name and Position | Diana Grimsley (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7032318355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Direct Care 4517 Waverly Crossing Ln Chantilly VA 20151-2212 | Summit Direct Care 4200b Technology Ct Chantilly VA 20151-1214 Ph: (571) 350-0929 |
| NPI Number | 1275318651 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275318651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
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