# BELITE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1124407135
- **Authorized official:** MICHELLE WOLFE MAYER NP (NURSE PRACTITIONER)
- **Authorized official phone:** (202) 557-8138

## Contact information

- **Practice address:** 3923 OLD LEE HWY, 61 A, FAIRFAX, VA 22030-2428
- **Practice address phone:** (703) 359-9202
- **Mailing address:** 3923 OLD LEE HWY, ARLINGTON, VA 22030
- **Mailing address phone:** (703) 359-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0017136984 | VA | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015