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Organization
OLD DOMINION MEDICAL CENTER, P.C.
Active
Organization
OLD DOMINION MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN BERNARD HORNE M.D. (PHYSICIAN OWNER)
(703) 356-5700
Entity
Organization
Contact information
Practice address
6715 WHITTIER AVENUE, SUITE 100, MCLEAN, VA 22101
(703) 356-5700
(703) 448-8211
Mailing address
6715 WHITTIER AVENUE, SUITE 100, MCLEAN, VA 22101
(703) 356-5700
(703) 448-8211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
02/04/2016
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