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Organization
SPINE CARE OF ALEXANDRIA, INC.
Active
Organization
SPINE CARE OF ALEXANDRIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MICHELLE UNDERWOOD (OFFICE MANAGER)
(703) 719-7302
Entity
Organization
Contact information
Practice address
6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
(703) 719-7302
(703) 719-9462
Mailing address
6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
(703) 719-7302
(703) 719-9462
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
0104001006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528136967
GROUP NPI
VA
01
—
1790865285
NPI
VA
01
—
DE0896
RAILROAD MEDICARE
VA
Enumeration date
12/02/2006
Last updated
11/02/2011
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