| Wellness and Preventative Care Centers LLC | |
|
13135 Lee Jackson Memorial Hwy Fairfax VA 22033-1907 | |
| (703) 648-0015 | |
| Not Available |
| Full Name | Wellness and Preventative Care Centers LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13135 Lee Jackson Memorial Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Jyothi Gadde (OWNER OF PRACTICE) |
| Authorized Official Contact | 5404281715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness and Preventative Care Centers LLC Po Box 3003 Warrenton VA 20188-1703 | Wellness and Preventative Care Centers LLC 13135 Lee Jackson Memorial Hwy Fairfax VA 22033-1907 Ph: (703) 648-0015 |
| NPI Number | 1194267484 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194267484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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