# THE MONTGOMERY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTGOMERY MEDICAL CLINIC
- **Other names:** Capitol Travel Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164013256
- **Legal business name:** MONTGOMERY MEDICAL CLINIC
- **Authorized official:** MRS. TANYA CHADWELL CFNP (CLINICAL DIRECTOR)
- **Authorized official phone:** (703) 351-5100

## Contact information

- **Practice address:** 3800 FAIRFAX DR STE 2, ARLINGTON, VA 22203-1703
- **Practice address phone:** (703) 351-5100
- **Practice address fax:** (703) 351-1445
- **Mailing address:** 3800 FAIRFAX DR STE 2, ARLINGTON, VA 22203-1703
- **Mailing address phone:** (703) 351-5100
- **Mailing address fax:** (703) 351-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2021
- **Last updated:** 02/01/2021