# PRIMARY CARE MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699895508
- **Authorized official:** DR. CHARLES PAYLING-WRIGHT M.D. (SECRETARY)
- **Authorized official phone:** (703) 481-3131

## Contact information

- **Practice address:** 106 ELDEN ST, SUITE 10, HERNDON, VA 20170-4872
- **Practice address phone:** (703) 481-3131
- **Practice address fax:** (703) 471-1173
- **Mailing address:** 106 ELDEN ST, SUITE 10, HERNDON, VA 20170-4872
- **Mailing address phone:** (703) 481-3131
- **Mailing address fax:** (703) 471-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 01/02/2013
