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Organization
MD WELLNESS AND HEALTH CENTER
Active
Organization
MD WELLNESS AND HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKINI SHANI GARRETT AINSWORTH (CEO, INTERNAL MEDICINE PHYSICIAN)
(540) 645-6400
Entity
Organization
Contact information
Practice address
10518 SPOTSYLVANIA AVE,, SUITE 102, FREDERICKSBURG, VA 22408
(540) 645-6400
(888) 427-4279
Mailing address
10518 SPOTSYLVANIA AVE,, SUITE 102, FREDERICKSBURG, VA 22408
(540) 645-6400
(888) 427-4279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
0101238953
VA
Other
Enumeration date
11/03/2014
Last updated
11/20/2019
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