# SPINE CARE OF ALEXANDRIA, INC.

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

## Provider details

- **NPI number:** 1528136967
- **Authorized official:** MRS. KATHERINE MICHELLE UNDERWOOD (OFFICE MANAGER)
- **Authorized official phone:** (703) 719-7302

## Contact information

- **Practice address:** 6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
- **Practice address phone:** (703) 719-7302
- **Practice address fax:** (703) 719-9462
- **Mailing address:** 6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
- **Mailing address phone:** (703) 719-7302
- **Mailing address fax:** (703) 719-9462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 0104001006 | VA | Yes |

## Other

- **Enumeration date:** 12/02/2006
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1528136967 | GROUP NPI | VA |
| 01 | — | 1790865285 | NPI | VA |
| 01 | — | DE0896 | RAILROAD MEDICARE | VA |