# ZION FAMILY PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Zion Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417420621
- **Authorized official:** DR. JARITA HAGANS MD (OWNER)
- **Authorized official phone:** (757) 412-7454

## Contact information

- **Practice address:** 2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
- **Practice address phone:** (301) 500-0779
- **Mailing address:** CAPITOL HILL, 611 PENNSYLVANIA AVENUE, SE, \#241, WASHINGTON, DC 20003
- **Mailing address phone:** (301) 500-0779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 01/10/2019