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Organization
ATLANTIC KNEE RESTORATION & REGENERATIVE MEDICINE - RESTON
Active
Organization
ATLANTIC KNEE RESTORATION & REGENERATIVE MEDICINE - RESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRITTENDEN III (OWNER)
(256) 302-2228
Entity
Organization
Contact information
Practice address
106 ELDEN ST STE 10, HERNDON, VA 20170-4826
(703) 854-1432
Mailing address
7481 RIGHT FLANK RD STE 100, MECHANICSVILLE, VA 23116-3838
(804) 877-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
09/28/2022
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