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Organization
MONTAGE HEALTH AND WELLNESS CORP
Active
Organization
MONTAGE HEALTH AND WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI D LEE (AUTHORIZED OFFICIAL)
(540) 712-1776
Entity
Organization
Contact information
Practice address
5631 BURKE CENTRE PKWY STE C, BURKE, VA 22015-2234
(540) 712-1776
Mailing address
17912 WATERFOWL CT, PURCELLVILLE, VA 20132-4281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/25/2021
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