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Organization
HOSPITAL MEDICINE PHYSICIANS OF PRINCE WILLIAM COUNTY LLC
Active
Organization
HOSPITAL MEDICINE PHYSICIANS OF PRINCE WILLIAM COUNTY LLC
Active
Parent organization
HOSPITALISTS MANAGEMENT GROUP
Other names
HMP of Prince William County LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITALISTS MANAGEMENT GROUP
Authorized official
RONNIE L JACOBS MD (SOLE OWNER MEMBER)
70366701313
Entity
Organization
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 497-8490
(330) 492-4906
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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