# METRO IPC GEORGIA AVE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457601296
- **Authorized official:** CHRISTOPHER TIMM (CENTER ADMINISTRATOR)
- **Authorized official phone:** (202) 641-4155

## Contact information

- **Practice address:** 6323 GEORGIA AVE NW, SUITE 101, WASHINGTON, DC 20011-1101
- **Practice address phone:** (202) 641-4155
- **Practice address fax:** (202) 827-7867
- **Mailing address:** 6323 GEORGIA AVE NW, SUITE 101, WASHINGTON, DC 20011-1101
- **Mailing address phone:** (202) 641-4155
- **Mailing address fax:** (202) 827-7867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD040210 | DC | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 11/26/2012