# VIRTUAL PREVENTIVE CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114803061
- **Authorized official:** KATINA VIVIAN CARTER-GEIGER (CEO)
- **Authorized official phone:** (484) 661-2257

## Contact information

- **Practice address:** 160 LONG LN STE 3, UPPER DARBY, PA 19082-3439
- **Practice address phone:** (215) 847-7711
- **Mailing address:** 7018 SAYBROOK AVE, PHILADELPHIA, PA 19142-1124
- **Mailing address phone:** (215) 847-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QP0002X | Physician Nutrition Specialist (Family Medicine) | — | NULL | Yes |
| 207QP0002X | Physician Nutrition Specialist (Family Medicine) | — | — | Yes |
| 207RP1002X | Physician Nutrition Specialist (Internal Medicine) | — | NULL | — |
| 207RP1002X | Physician Nutrition Specialist (Internal Medicine) | — | — | — |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 08/14/2025